Wyoming Dental LLC

NPI #1437882354 in Wyoming, Minnesota

Provider Information

NPI Number: 1437882354
Entity Type: Organization
Organization Name: Wyoming Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2022
Last Updated: Jul 18, 2022

Practice Location

Address: 5378 E VIKING BLVD
City: Wyoming
State: Minnesota
ZIP Code: 55092
Phone: (651) 462-5150

Authorized Official

Name: MATTHEW L ROHLF, DDS
Title: OWNER
Phone: (651) 462-5150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Dentist	122300000X	Primary

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