| NPI | 1669743738 |
|---|---|
| Doing Business As | VERSA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MICHAEL WEINAND Dentist, Co Owner 763-475-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2012-01-22 |