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Organization
WOODBURY DENTAL CARE
Active
Organization
WOODBURY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PELKE DDS (DENTIST/OWNER)
(651) 739-7910
Entity
Organization
Contact information
Practice address
215 RADIO DR STE 201, SAINT PAUL, MN 55125-5815
(651) 739-7910
(651) 739-0611
Mailing address
215 RADIO DR STE 201, SAINT PAUL, MN 55125-5815
(651) 739-7910
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
09/12/2022
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