Organization
SALUTE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD SNELL (OWNER)
(651) 209-0270
Entity
Organization
Contact information
Practice address
2101 WOODWINDS DR STE 500, WOODBURY, MN 55125-2527
(651) 209-0270
Mailing address
2101 WOODWINDS DRIVE, SUITE #500, WOODBURY, MN 55125-2527
(651) 209-0270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10893
MN
1223G0001X
General Practice Dentistry
12412
MN
1223G0001X
General Practice Dentistry
7161
MN
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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