Organization
WAYNEWOOD & ASSOCIATES, P.A.
Active
Parent organization
WAYNEWOOD & ASSOCIATES, P.A.
Other names
KingField Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNEWOOD & ASSOCIATES, P.A.
Authorized official
NESRET SHU-ANKH (PRACTICE MANAGER)
(651) 647-9697
Entity
Organization
Contact information
Practice address
17 E 38TH ST, MINNEAPOLIS, MN 55409-1341
(612) 353-5443
(612) 353-5440
Mailing address
393 DUNLAP ST N, SUITE 650, SAINT PAUL, MN 55104-4200
(651) 647-9697
(651) 646-2771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8084
MN
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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