Wayzata Dental, Ltd.

NPI #1659554517 in Wayzata, Minnesota

Provider Information

NPI Number
1659554517
Entity Type
Organization
Organization Name
Wayzata Dental, Ltd.
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 13, 2007
Last Updated
Dec 13, 2007

Practice Location

Address
250 CENTRAL AVE N
Address 2
SUITE 202
ZIP Code
55391-1206
Phone
(952) 473-4900

Authorized Official

Name
DR. JASON T MCDOWELL, D.D.S.
Title
OWNER
Phone
(952) 473-4900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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