Wooddale Dental Group Pa | |
3401 Wooddale Ave S St Louis Park MN 55416-2340 | |
(952) 929-3336 | |
(952) 929-3338 |
Full Name | Wooddale Dental Group Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 3401 Wooddale Ave S, St Louis Park, Minnesota |
Authorized Official Name and Position | Michael James Spencer (PRESIDENT) |
Authorized Official Contact | 9529293336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wooddale Dental Group Pa 3401 Wooddale Ave S St Louis Park MN 55416-2340 Ph: (952) 929-3336 | Wooddale Dental Group Pa 3401 Wooddale Ave S St Louis Park MN 55416-2340 Ph: (952) 929-3336 |
NPI Number | 1356404883 |
---|---|
Provider Enumeration Date | 12/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356404883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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