Individual
DR. JOHN CLAYTON WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8650 HUDSON BLVD N, SUITE105, LAKE ELMO, MN 55042-9747
(651) 636-1072
(651) 501-1471
Mailing address
14801 SUMMIT OAKS DR, BURNSVILLE, MN 55337-4789
(952) 431-3548
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11398
MN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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