Individual
MS. KIMBERLY ANN WOJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
16991 198TH AVENUE NW, BIG LAKE, MN 55309-0249
(763) 263-6350
(763) 263-0136
Mailing address
20443 213TH AVE, BIG LAKE, MN 55309-8109
(763) 263-5844
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4733
MN
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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