Organization
WILLIAM W WAGNILD DDS PA
Active
Other names
Cedar Hills Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WALTON WAGNILD DDS (OWNER PRESIDENT)
(952) 544-2225
Entity
Organization
Contact information
Practice address
10976 CEDAR LAKE RD, MINNETONKA, MN 55305-3366
(952) 544-2225
Mailing address
10976 CEDAR LAKE RD, MINNETONKA, MN 55305-3366
(952) 544-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8960
MN
Other
Enumeration date
01/31/2007
Last updated
10/18/2012
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