Organization
NORTHWOODS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA J KENT (OFFICE MANAGER)
(763) 557-0911
Entity
Organization
Contact information
Practice address
15600 36TH AVE N, SUITE 270, PLYMOUTH, MN 55446-3369
(763) 557-0911
(763) 557-5157
Mailing address
15600 36TH AVE N, SUITE 270, PLYMOUTH, MN 55446-3369
(763) 557-0911
(763) 557-5157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10011
MN
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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