Organization
WOODLAND DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN L ANDERSON DDS (DENTIST)
(218) 631-4431
Entity
Organization
Contact information
Practice address
206 1ST ST SE, WADENA, MN 56482-1561
(218) 631-4431
(218) 631-2926
Mailing address
206 1ST ST SE, WADENA, MN 56482-1561
(218) 631-4431
(218) 631-2926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
125J00000X
Dental Therapist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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