Organization
ENTERPRISE DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY LEE KOURY D.D.S. (PRESIDENT)
(651) 452-2116
Entity
Organization
Contact information
Practice address
2418 ENTERPRISE DR UNIT B, MENDOTA HEIGHTS, MN 55120-1361
(651) 452-2116
(651) 452-2695
Mailing address
2418 ENTERPRISE DR UNIT B, MENDOTA HEIGHTS, MN 55120-1361
(651) 452-2116
(651) 452-2695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10401
MN
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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