Individual
DR. NGOC MY WAITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6300 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2124
(763) 560-4081
Mailing address
6300 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2191
(763) 560-4081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10605
MN
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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