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Contact Information

WOODBURY ENDODONTICS, LLC
8401 SEASONS PKWY
WOODBURY, MN55125-3414
 Phone: 651-735-6430
 Fax: 651-735-6334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for WOODBURY ENDODONTICS LLC · (Female)

NPI Number 1205008661
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2008
Last updated 03/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D10211
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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