Organization
W H DENTAL, PLLC
Active
Other names
Versa Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS MICHAEL WEINAND D.D.S. (DENTIST, CO-OWNER)
(763) 475-2000
Entity
Organization
Contact information
Practice address
17610 19TH AVE N, SUITE 8, PLYMOUTH, MN 55447-2600
(763) 475-2000
(763) 475-2001
Mailing address
17610 19TH AVE N, SUITE 8, PLYMOUTH, MN 55447-2600
(763) 475-2000
(763) 475-2001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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