Organization
CHILDRENS DENTAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WOVCHA J.D., M.P.H (EXECUTIVE DIRECTOR)
(612) 636-1577
Entity
Organization
Contact information
Practice address
636 BROADWAY ST. NE, MINNEAPOLIS, MN 55413
(612) 746-1530
(612) 746-1531
Mailing address
636 BROADWAY ST. NE, MINNEAPOLIS, MN 55413
(612) 746-1530
(612) 746-1531
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
12/03/2013
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