Creekview Dental PA

NPI #1861463465 in Woodbury, Minnesota

Provider Information

NPI Number: 1861463465
Entity Type: Organization
Organization Name: Creekview Dental PA
Primary Specialty: Dentist
Enumeration Date: Jan 31, 2006
Last Updated: Jul 17, 2012

Practice Location

Address: 2145 WOODLANE DR
Address 2: SUITE 104
City: Woodbury
State: Minnesota
ZIP Code: 55125-1920
Phone: (651) 738-8204

Authorized Official

Name: DR. JOHN M HAAG, DDS
Title: PRESIDENT S CORP
Phone: (651) 738-8204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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