Individual
CASEY NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13911 RIDGEDALE DR, MINNETONKA, MN 55305-1771
(952) 545-8603
Mailing address
4425 POLARIS LN N, PLYMOUTH, MN 55446-2667
(612) 306-1133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13372
MN
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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