| Woodbury Endodontics, Llc | |
|
8401 Seasons Pkwy Woodbury MN 55125-3414 | |
| (651) 735-6430 | |
| (651) 735-6334 |
| Full Name | Woodbury Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8401 Seasons Pkwy, Woodbury, Minnesota |
| Authorized Official Name and Position | Mitchell Lee Page (PRESIDENT OF WOODBURY ENDODONTICS) |
| Authorized Official Contact | 6517356430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbury Endodontics, Llc 8401 Seasons Pkwy Woodbury MN 55125-3414 Ph: (651) 735-6430 | Woodbury Endodontics, Llc 8401 Seasons Pkwy Woodbury MN 55125-3414 Ph: (651) 735-6430 |
| NPI Number | 1205008661 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205008661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D10211 (Minnesota) | Primary |
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