BOREALIS DENTAL WYOMING PA

WYOMING, MN
NPI1750147492
Entity TypeOrganization
Authorized ContactSEAN GOOLSBY
President
651-757-0482
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2024-02-21
Last Update Date2024-11-05
Business Address
BOREALIS DENTAL WYOMING PA
26357 FOREST BLVD # 2
WYOMING, MN 55092-8353
Phone number: 651-462-7017
Mailing Address
BOREALIS DENTAL WYOMING PA
PO BOX 886
WYOMING, MN 55092-0886
Phone number: