Organization
WOOD PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON DAVID SKARE DDS (OWNER)
(952) 431-5088
Entity
Organization
Contact information
Practice address
4355 NICOLS RD, EAGAN, MN 55122-1912
(952) 431-5088
Mailing address
4355 NICOLS RD, EAGAN, MN 55122-1912
(952) 431-5088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9742
MN
Other
Enumeration date
09/18/2007
Last updated
07/10/2014
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