| Thomas W Waite Dds Pa | |
|
5820 74th Ave N Brooklyn Park MN 55443-3140 | |
| (763) 561-7000 | |
| Not Available |
| Full Name | Thomas W Waite Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5820 74th Ave N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Thomas Waite (DENTIST) |
| Authorized Official Contact | 7635617000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Waite Dds Pa 5820 74th Ave N Brooklyn Park MN 55443-3140 Ph: (763) 561-7000 | Thomas W Waite Dds Pa 5820 74th Ave N Brooklyn Park MN 55443-3140 Ph: (763) 561-7000 |
| NPI Number | 1467420372 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467420372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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