Individual
DR. PATRICIA FERNANDES BOETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1835 COUNTY ROAD C W STE 200, ROSEVILLE, MN 55113-1353
(651) 636-2016
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D13422
MN
122300000X
Dentist
FL34
MN
1223X2210X
Orofacial Pain Dentistry
Primary
D13422
MN
261QM1300X
Multi-Specialty Clinic/Center
D13422
MN
Other
Enumeration date
11/28/2011
Last updated
02/09/2026
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