Organization
WOODLAND DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN L ANDERSON DDS (PRESIDENT OWNER)
(218) 631-4431
Entity
Organization
Contact information
Practice address
206 1ST ST SE, WADENA, MN 56482
(218) 631-4431
(218) 631-2926
Mailing address
206 1ST ST SE, WADENA, MN 56482
(218) 631-4431
(218) 631-2926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11459
MN
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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