Wooddale Dental Group PA
NPI #1356404883 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1356404883
- Entity Type
- Organization
- Organization Name
- Wooddale Dental Group PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3401 WOODDALE AVE S
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2340
- Phone
- (952) 929-3336
Authorized Official
- Name
- MICHAEL JAMES SPENCER
- Title
- PRESIDENT
- Phone
- (952) 929-3336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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