Individual
HENRY DAVID WATZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9202 202ND ST W STE 201, LAKEVILLE, MN 55044-7917
(952) 469-2818
Mailing address
3894 KESTREL ST SW, PRIOR LAKE, MN 55372-4424
(952) 270-1794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11074
MN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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