Paul Boettner D.d.s. Pllc

NPI #1679765929 in Plymouth, Minnesota

Provider Information

NPI Number: 1679765929
Entity Type: Organization
Organization Name: Paul Boettner D.d.s. Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2007
Last Updated: Jun 15, 2012

Practice Location

Address: 1495 COUNTY ROAD 101 N
Address 2: SUITE 2
City: Plymouth
State: Minnesota
ZIP Code: 55447-3078
Phone: (763) 476-6774

Authorized Official

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

Specialties & Taxonomy Codes

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

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