Organization
PAUL BOETTNER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BOETTNER (OWNER)
(763) 476-6774
Entity
Organization
Contact information
Practice address
1485 COUNTY ROAD 101 N, PLYMOUTH, MN 55447-3053
(763) 476-6774
Mailing address
1485 COUNTY ROAD 101 N, PLYMOUTH, MN 55447-3053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12160
MN
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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