Provider First Line Business Practice Location Address:
22 E CALVARY RD
Provider Second Line Business Practice Location Address:
WOODLAND FAMILY DENTAL CLINIC PA
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-724-8227
Provider Business Practice Location Address Fax Number:
218-724-7808
Provider Enumeration Date:
02/05/2007