Organization · Type 2 NPI

Regarding Dentistry, PLLC

General Practice Dentistry · Waconia, MN

NPI number 1902889157 Active

Practice location

732 Vista Blvd.
Waconia, MN 55387-1333

Fax (952) 442-2821

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7916 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1902889157

Regarding Dentistry, PLLC's National Provider Identifier is 1902889157, issued on Nov 22, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waconia, MN. The record was last updated on May 8, 2017.