Organization
WOODLAND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ROSS SNELGROVE (OFFICE MANAGER)
(218) 631-4431
Entity
Organization
Contact information
Practice address
510 1ST ST, PRINCETON, MN 55371-1604
(763) 389-1373
Mailing address
510 1ST ST, PRINCETON, MN 55371-1604
(763) 389-1373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11459
MN
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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