Enterprise Dental, Inc.
NPI #1447422175 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1447422175
- Entity Type
- Organization
- Organization Name
- Enterprise Dental, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 2, 2008
- Last Updated
- Apr 2, 2008
Practice Location
- Address
- 2418 ENTERPRISE DR UNIT B
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1361
- Phone
- (651) 452-2116
Authorized Official
- Name
- DR. WENDY LEE KOURY, D.D.S.
- Title
- PRESIDENT
- Phone
- (651) 452-2116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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