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Organization
CAMARA GOOD LLC
Active
Organization
CAMARA GOOD LLC
Active
Other names
Wayzata Periodontics and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE CAMARA DDS MS (OWNER)
(952) 473-9779
Entity
Organization
Contact information
Practice address
250 N CENTRAL AVE, SUITE 300, WAYZATA, MN 55391
(952) 473-9779
(952) 473-9570
Mailing address
250 N CENTRAL AVE, SUITE 300, WAYZATA, MN 55391
(952) 473-9779
(952) 473-9570
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11718
MN
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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