Organization
CREEKVIEW DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M HAAG DDS (PRESIDENT S CORP)
(651) 738-8204
Entity
Organization
Contact information
Practice address
2145 WOODLANE DR, SUITE 104, WOODBURY, MN 55125-1920
(651) 738-8204
Mailing address
2145 WOODLANE DR, SUITE 104, WOODBURY, MN 55125-1920
(651) 738-8204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MN10688
MN
Other
Enumeration date
01/31/2006
Last updated
07/17/2012
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