Organization
MICHAEL J HARRISON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J HARRISON DDS (PRESIDENT)
(952) 475-2907
Entity
Organization
Contact information
Practice address
1421 EAST WAYZATA BLVD, SUITE 320, WAYZATA, MN 55391-1939
(952) 475-2907
Mailing address
1421 EAST WAYZATA BLVD, SUITE 320, WAYZATA, MN 55391-1939
(952) 475-2907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10529
MN
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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