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Wayzata Endodontics PA

NPI #1508926841 in Wayzata, Minnesota

Provider Information

NPI Number
1508926841
Entity Type
Organization
Organization Name
Wayzata Endodontics PA
Primary Specialty
Dentist - Endodontics
Enumeration Date
Dec 9, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
250 N CENTRAL AVE
Address 2
SUITE 303
City
Wayzata
State
Minnesota
ZIP Code
55391
Phone
(952) 476-0070

Authorized Official

Name
DR. GREGORY VINCENT OTOOLE, DDS MS
Title
PRESIDENT
Phone
(952) 476-0070

Specialties & Taxonomy Codes

Specialty
Dentist - Endodontics — Endodontics

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