Individual
DR. PAUL D BOETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1495 COUNTY ROAD 101 N, SUITE 2, PLYMOUTH, MN 55447-3078
(763) 476-6774
Mailing address
1495 COUNTY ROAD 101 N, SUITE 2, PLYMOUTH, MN 55447-3078
(763) 476-6774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12160
MN
Other
Enumeration date
08/06/2007
Last updated
06/03/2012
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