Individual
SCOTT MICHAEL DANZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DT
Contact information
Practice address
393 DUNLAP ST N STE 308, SAINT PAUL, MN 55104-4223
(651) 788-7045
Mailing address
11901 CENTRAL PARK WAY UNIT 2418, MAPLE GROVE, MN 55369-2668
(651) 249-1167
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT63
MN
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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