| NPI | 1902943657 |
|---|---|
| Doing Business As | CEDAR HILLS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALTON WAGNILD Owner President 952-544-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 8960) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-10-18 |