Organization
PERIODONTAL CENTER
Active
Other names
The Periodontal Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY BARNARD (BUSINESS MANAGER)
(651) 233-2140
Entity
Organization
Contact information
Practice address
1610 MAXWELL DR, HUDSON, WI 54016-8709
(715) 690-3050
Mailing address
8401 SEASONS PKWY, WOODBURY, MN 55125-3414
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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