| NPI | 1952738361 |
|---|---|
| Doing Business As | WAYZATA PERIODONTICS AND IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | RENEE CAMARA Owner 952-473-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D11718) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |