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Search › Minnesota › 171100000X

Siddhartha Wolong, LAC

NPI 1437754801 · on the registry since 2020 · sole proprietor

Practice

Address
329 E Highway 12
Litchfield, MN 55355
Phone
(320) 699-0161
Organisation at this address
Medicine Shoppe
Winsted Dental Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota