Individual
DR. JAMES ROGER MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1421 WAYZATA BLVD, SUITE 300, WAYZATA, MN 55391-1939
(952) 473-1521
(952) 252-0889
Mailing address
1421 WAYZATA BLVD, SUITE 300, WAYZATA, MN 55391-1939
(952) 473-1521
(952) 252-0889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10504
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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