Whalio Doctors

NPI 1326148974

Nicole A. Gresczyk, CRDARDA

Practitioner Dental Assistant Woodbury, MN

Practice location

Address
1789 Woodlane Dr #d, Woodbury, MN 55125-3910
Phone
(651) 738-1284
Mailing address
1625 Frost Ave Unit a, Maplewood, MN 55109-4611

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X

Registry record

NPI
1326148974
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.