Organization
WINTERS PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY WINTERS D.D.S (PRESIDENT)
(612) 790-0780
Entity
Organization
Contact information
Practice address
3410 151ST ST W, ROSEMOUNT, MN 55068-1755
(651) 322-5788
Mailing address
3410 151ST ST W, ROSEMOUNT, MN 55068-1755
(651) 322-5788
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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