DR. Stacey Kay Wolken, DDS

NPI #1467511956 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1467511956
Entity Type: Individual
Name: DR. Stacey Kay Wolken, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 8, 2006
Last Updated: Aug 16, 2016

Practice Location

Address: 18315 CASCADE DR
Address 2: SUITE 120
City: Eden Prairie
State: Minnesota
ZIP Code: 55347-1180
Phone: (952) 949-2536

Specialties & Taxonomy Codes

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

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