Water's Edge Dental

NPI #1790146587 in Long Lake, Minnesota

Provider Information

NPI Number
1790146587
Entity Type
Organization
Organization Name
Water's Edge Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 8, 2016
Last Updated
Mar 8, 2016

Practice Location

Address
1880 W WAYZATA BLVD
ZIP Code
55356-9491
Phone
(952) 475-0989

Authorized Official

Name
MR. MICHAEL E. GIEBENHAIN, D.D.S.
Title
OWNER
Phone
(952) 475-0989

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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