Wyoming Dental Llc | |
5378 E Viking Blvd Wyoming MN 55092 | |
(651) 462-5150 | |
(651) 462-1092 |
Full Name | Wyoming Dental Llc |
---|---|
Speciality | Dentist |
Location | 5378 E Viking Blvd, Wyoming, Minnesota |
Authorized Official Name and Position | Matthew L Rohlf (OWNER) |
Authorized Official Contact | 6514625150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wyoming Dental Llc Po Box 189 Wyoming MN 55092-0189 Ph: (651) 462-5150 | Wyoming Dental Llc 5378 E Viking Blvd Wyoming MN 55092 Ph: (651) 462-5150 |
NPI Number | 1437882354 |
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Provider Enumeration Date | 07/07/2022 |
Last Update Date | 07/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437882354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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