| Woodbury Dental Care | |
|
215 Radio Dr Ste 201 Saint Paul MN 55125-5815 | |
| (651) 739-7910 | |
| (651) 739-0611 |
| Full Name | Woodbury Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 215 Radio Dr Ste 201, Saint Paul, Minnesota |
| Authorized Official Name and Position | Michael Pelke (DENTIST/OWNER) |
| Authorized Official Contact | 6517397910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbury Dental Care 215 Radio Dr Ste 201 Saint Paul MN 55125-5815 Ph: (651) 739-7910 | Woodbury Dental Care 215 Radio Dr Ste 201 Saint Paul MN 55125-5815 Ph: (651) 739-7910 |
| NPI Number | 1790351716 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790351716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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