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Organization
KINGFIELD FAMILY DENTAL & ASSOCIATES PLLC
Active
Organization
KINGFIELD FAMILY DENTAL & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREEMAN WAYNEWOOD D.D.S. (CEO)
(612) 353-5443
Entity
Organization
Contact information
Practice address
17 E 38TH ST, MINNEAPOLIS, MN 55409-1341
(612) 353-5443
Mailing address
17 E 38TH ST, MINNEAPOLIS, MN 55409-1341
(612) 353-5443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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