Organization
WOODGROVE DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL W. HENSEL DDS (PRESIDENT)
(651) 738-1284
Entity
Organization
Contact information
Practice address
1789 WOODLANE DR, SUITE D, WOODBURY, MN 55125-3910
(651) 738-1284
(651) 738-0072
Mailing address
1789 WOODLANE DR, SUITE D, WOODBURY, MN 55125-3910
(651) 738-1284
(651) 738-0072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9544
MN
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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