Paul Boettner DDS Pllc

NPI #1467870303 in Plymouth, Minnesota

Provider Information

NPI Number: 1467870303
Entity Type: Organization
Organization Name: Paul Boettner DDS Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 28, 2014
Last Updated: Mar 28, 2014

Practice Location

Address: 1485 COUNTY ROAD 101 N
City: Plymouth
State: Minnesota
ZIP Code: 55447-3053
Phone: (763) 476-6774

Authorized Official

Name: DR. PAUL BOETTNER
Title: OWNER
Phone: (763) 476-6774

Specialties & Taxonomy Codes

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

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