Organization
FLIGGE AND LARSON PA
Active
Other names
Wayzata Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DEE MORAN (OFFICE MANAGER)
(952) 475-2464
Entity
Organization
Contact information
Practice address
101 LAKE ST W, SUITE 220, WAYZATA, MN 55391
(952) 475-2464
(952) 475-2664
Mailing address
101 LAKE ST W, SUITE 220, WAYZATA, MN 55391
(952) 475-2464
(952) 475-2664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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