| NPI | 1366507121 |
|---|---|
| Doing Business As | WAYZATA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DEE MORAN Office Manager 952-475-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |