Wyoming Family Dental | |
5378 East Viking Blvd. Wyoming MN 55092 | |
(651) 462-5150 | |
Not Available |
Full Name | Wyoming Family Dental |
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Speciality | Dentist - General Practice |
Location | 5378 East Viking Blvd., Wyoming, Minnesota |
Authorized Official Name and Position | Jody Veugeler (OFFICER MANAGER) |
Authorized Official Contact | 6514625150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wyoming Family Dental Po Box 189 Wyoming MN 55092 Ph: (651) 462-5150 | Wyoming Family Dental 5378 East Viking Blvd. Wyoming MN 55092 Ph: (651) 462-5150 |
NPI Number | 1821696022 |
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Provider Enumeration Date | 10/12/2020 |
Last Update Date | 10/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821696022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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