Organization
APPLEWOOD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RECK DA (DENTAL ASSISTANT)
(651) 738-2125
Entity
Organization
Contact information
Practice address
1740 WEIR DR, WOODBURY, MN 55125-2282
(651) 738-2125
Mailing address
1740 WEIR DR, WOODBURY, MN 55125-2282
(651) 738-2125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11707
MN
122300000X
Dentist
13264
MN
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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