Organization
WAYNEWOOD & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREEMAN WAYNEWOOD D.D.S. (OWNER)
(651) 647-9697
Entity
Organization
Contact information
Practice address
393 DUNLAP ST N STE 650, SAINT PAUL, MN 55104-4216
(651) 647-9697
(651) 646-2771
Mailing address
393 DUNLAP ST N STE 650, SAINT PAUL, MN 55104-4216
(651) 647-9697
(651) 646-2771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8084
MN
Other
Enumeration date
11/17/2006
Last updated
02/01/2008
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