Organization
WOODLAND DENTISTRY
Active
Organization
WOODLAND DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER GEYEN DDS (DENTIST)
(320) 762-0279
Entity
Organization
Contact information
Practice address
1301 HAWTHORNE ST, ALEXANDRIA, MN 56308-2555
(320) 762-0279
Mailing address
1301 HAWTHORNE STREET, ALEXANDRIA, MN 56308
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D13374
MN
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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