Individual
DR. DOUGLAS JOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
(952) 938-1443
Mailing address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
(952) 938-1443
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7094
MN
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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