Michael J Harrison DDS PA

NPI #1043355225 in Wayzata, Minnesota

Provider Information

NPI Number: 1043355225
Entity Type: Organization
Organization Name: Michael J Harrison DDS PA
Primary Specialty: Dentist
Enumeration Date: Feb 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1421 EAST WAYZATA BLVD
Address 2: SUITE 320
City: Wayzata
State: Minnesota
ZIP Code: 55391-1939
Phone: (952) 475-2907

Authorized Official

Name: DR. MICHAEL J HARRISON, DDS
Title: PRESIDENT
Phone: (952) 475-2907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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