Northwoods Dental

NPI #1215083183 in Plymouth, Minnesota

Provider Information

NPI Number: 1215083183
Entity Type: Organization
Organization Name: Northwoods Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 15600 36TH AVE N
Address 2: SUITE 270
City: Plymouth
State: Minnesota
ZIP Code: 55446-3369
Phone: (763) 557-0911

Authorized Official

Name: MRS. PAMELA J KENT
Title: OFFICE MANAGER
Phone: (763) 557-0911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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