Organization
WAYZATA ENDODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN TULKKI DDS, MS (PRESIDENT)
(952) 476-0070
Entity
Organization
Contact information
Practice address
1015 HIGHWAY 15 S, PLAZA 15, HUTCHINSON, MN 55350
(952) 476-0070
Mailing address
250 CENTRAL AVE N, SUITE 303, WAYZATA, MN 55391-1206
(952) 476-0070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11543
MN
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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