Organization
WOODBURY ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL LEE PAGE DDS, MS (PRESIDENT OF WOODBURY ENDODONTICS)
(651) 735-6430
Entity
Organization
Contact information
Practice address
8401 SEASONS PKWY, WOODBURY, MN 55125-3414
(651) 735-6430
(651) 735-6334
Mailing address
8401 SEASONS PKWY, WOODBURY, MN 55125-3414
(651) 735-6430
(651) 735-6334
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D10211
MN
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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