Organization
DENTAL HEALTH CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL WOELL DDS (GENERAL DENTIST CORP PRESIDENT)
(612) 861-7109
Entity
Organization
Contact information
Practice address
1717 EAST 66TH STREET, RICHFIELD, MN 55423-2722
(612) 861-7109
(612) 253-7422
Mailing address
1717 EAST 66TH STREET, RICHFIELD, MN 55423-2722
(612) 861-7109
(612) 253-7422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11577
MN
122300000X
Dentist
D11737
MN
122300000X
Dentist
D8581
MN
122300000X
Dentist
D8740
MN
Other
Enumeration date
12/28/2006
Last updated
09/24/2014
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