Woodland Dental Inc.

NPI #1912246315 in Wadena, Minnesota

Provider Information

NPI Number: 1912246315
Entity Type: Organization
Organization Name: Woodland Dental Inc.
Primary Specialty: Dentist
Enumeration Date: Feb 5, 2013
Last Updated: Feb 5, 2013

Practice Location

Address: 206 1ST ST SE
City: Wadena
State: Minnesota
ZIP Code: 56482-1561
Phone: (218) 631-4431

Authorized Official

Name: DR. RYAN L ANDERSON, DDS
Title: DENTIST
Phone: (218) 631-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Public Health — Dental Public Health	1223D0001X
Dental Hygienist	124Q00000X
Dental Therapist	125J00000X
Dental Assistant	126800000X
Dentist	122300000X	Primary

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