Organization · Type 2 NPI
Water's Edge Dental
Dental Clinic/Center · Long Lake, MN
NPI number
1790146587
Active
Practice location
1880 W Wayzata Blvd
Long Lake, MN 55356-9491
Fax (952) 475-2053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1790146587
Water's Edge Dental's National Provider Identifier is 1790146587, issued on Mar 8, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Long Lake, MN. The record was last updated on Mar 8, 2016.