DIANE L WOLTER

COON RAPIDS, MN
NPI1982765905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  9770)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- DIANE L WOLTER DDS
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600
Mailing Address
-- DIANE L WOLTER DDS
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600