| Woodland Dentistry | |
|
1301 Hawthorne St Alexandria MN 56308-2555 | |
| (320) 762-0279 | |
| Not Available |
| Full Name | Woodland Dentistry |
|---|---|
| Speciality | Clinic/center |
| Location | 1301 Hawthorne St, Alexandria, Minnesota |
| Authorized Official Name and Position | Tyler Geyen (DENTIST) |
| Authorized Official Contact | 3207620279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Dentistry 1301 Hawthorne Street Alexandria MN 56308 Ph: () - | Woodland Dentistry 1301 Hawthorne St Alexandria MN 56308-2555 Ph: (320) 762-0279 |
| NPI Number | 1124407143 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124407143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D13374 (Minnesota) | Primary |
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