Lake Minnetonka Dental

NPI #1922185016 in Wayzata, Minnesota

Provider Information

NPI Number: 1922185016
Entity Type: Organization
Organization Name: Lake Minnetonka Dental
Primary Specialty: Dentist
Enumeration Date: Nov 1, 2006
Last Updated: May 11, 2011

Practice Location

Address: 109 BUSHAWAY RD
Address 2: SUITE 300
City: Wayzata
State: Minnesota
ZIP Code: 55391-1945
Phone: (952) 475-0225

Authorized Official

Name: DR. BRYAN NEIL LASKIN, DDS
Title: PRESIDENT DENTIST
Phone: (952) 475-0225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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