Individual
JOHN DAVID NYDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1011 2ND ST N, STE 101, SAINT CLOUD, MN 56303-3237
(320) 253-0744
(320) 253-9930
Mailing address
1011 2ND ST N, STE 101, SAINT CLOUD, MN 56303-3237
(320) 253-0744
(320) 253-9930
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8204
MN
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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