Organization
WYOMING FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY VEUGELER (OFFICER MANAGER)
(651) 462-5150
Entity
Organization
Contact information
Practice address
5378 EAST VIKING BLVD., WYOMING, MN 55092
(651) 462-5150
Mailing address
PO BOX 189, WYOMING, MN 55092
(651) 462-5150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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