Woodland Dental LLC

NPI #1861861619 in Princeton, Minnesota

Provider Information

NPI Number: 1861861619
Entity Type: Organization
Organization Name: Woodland Dental LLC
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2015
Last Updated: Sep 23, 2015

Practice Location

Address: 510 1ST ST
City: Princeton
State: Minnesota
ZIP Code: 55371-1604
Phone: (763) 389-1373

Authorized Official

Name: DIANA ROSS SNELGROVE
Title: OFFICE MANAGER
Phone: (218) 631-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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