| Woodbury Modern Dentistry, Pc | |
|
265 Radio Dr Ste E Woodbury MN 55125-5809 | |
| (612) 294-6742 | |
| (612) 285-3884 |
| Full Name | Woodbury Modern Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 265 Radio Dr Ste E, Woodbury, Minnesota |
| Authorized Official Name and Position | Mitchell C Wilkinson (OWNER) |
| Authorized Official Contact | 6122946742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbury Modern Dentistry, Pc Po Box 660041 Dallas TX 75266-0041 Ph: (714) 845-8890 | Woodbury Modern Dentistry, Pc 265 Radio Dr Ste E Woodbury MN 55125-5809 Ph: (612) 294-6742 |
| NPI Number | 1205777182 |
|---|---|
| Provider Enumeration Date | 04/03/2026 |
| Last Update Date | 04/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205777182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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