| Wood Park Dental | |
|
4355 Nicols Rd Eagan MN 55122-1912 | |
| (952) 431-5088 | |
| Not Available |
| Full Name | Wood Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4355 Nicols Rd, Eagan, Minnesota |
| Authorized Official Name and Position | Jon David Skare (OWNER) |
| Authorized Official Contact | 9524315088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood Park Dental 4355 Nicols Rd Eagan MN 55122-1912 Ph: (952) 431-5088 | Wood Park Dental 4355 Nicols Rd Eagan MN 55122-1912 Ph: (952) 431-5088 |
| NPI Number | 1750577318 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750577318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9742 (Minnesota) | Primary |
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