Organization
WAYZATA ENDODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TULKKI (ENDODONTIST)
(952) 476-0070
Entity
Organization
Contact information
Practice address
101 LAKE STREET WEST, SUITE 100, WAYZATA, MN 55391
(952) 476-0070
Mailing address
101 LAKE ST W, SUITE 100, WAYZATA, MN 55391-1576
(952) 476-0070
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
MN
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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