Organization
MINNEAPOLIS-ST.PAUL ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA MIGGLER (PRACTICE MANAGER)
(651) 439-2600
Entity
Organization
Contact information
Practice address
10150 CITY WALK DR STE C, WOODBURY, MN 55129
(651) 714-7111
(651) 714-9005
Mailing address
10150 CITY WALK DR STE C, WOODBURY, MN 55129
(651) 714-7111
(651) 714-9005
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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