Organization
WYOMING FAMILY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD LOWEEN D.D.S. (CO-OWNER)
(651) 462-5150
Entity
Organization
Contact information
Practice address
5305 E VIKING BLVD, WYOMING, MN 55092-8014
(651) 462-5150
Mailing address
4666 DALE ST N, SHOREVIEW, MN 55126-6021
(651) 766-5771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11362
MN
Other
Enumeration date
05/10/2007
Last updated
06/23/2008
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