Kenneth B Weddell Pllc
NPI #1073862819 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1073862819
- Entity Type
- Organization
- Organization Name
- Kenneth B Weddell Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 7, 2012
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 8900 PENN AVE S STE 211
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-2068
- Phone
- (952) 884-7706
Authorized Official
- Name
- DR. KENNETH BRUCE WEDDELL, DDS
- Title
- OWNER
- Phone
- (952) 884-7706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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