| Woodgrove Dental Pa | |
|
1789 Woodlane Dr Suite D Woodbury MN 55125-3910 | |
| (651) 738-1284 | |
| (651) 738-0072 |
| Full Name | Woodgrove Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1789 Woodlane Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Paul W. Hensel (PRESIDENT) |
| Authorized Official Contact | 6517381284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodgrove Dental Pa 1789 Woodlane Dr Suite D Woodbury MN 55125-3910 Ph: (651) 738-1284 | Woodgrove Dental Pa 1789 Woodlane Dr Suite D Woodbury MN 55125-3910 Ph: (651) 738-1284 |
| NPI Number | 1356539993 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356539993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9544 (Minnesota) | Primary |
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