| Wayzata Endodontics, Pa | |
|
1015 Highway 15 S Plaza 15 Hutchinson MN 55350 | |
| (952) 476-0070 | |
| Not Available |
| Full Name | Wayzata Endodontics, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1015 Highway 15 S, Hutchinson, Minnesota |
| Authorized Official Name and Position | Michael John Tulkki (PRESIDENT) |
| Authorized Official Contact | 9524760070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayzata Endodontics, Pa 250 Central Ave N Suite 303 Wayzata MN 55391-1206 Ph: (952) 476-0070 | Wayzata Endodontics, Pa 1015 Highway 15 S Plaza 15 Hutchinson MN 55350 Ph: (952) 476-0070 |
| NPI Number | 1285883777 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285883777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D11543 (Minnesota) | Primary |
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