Organization
MCKONE DENTAL CARE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES NEHL MCKONE DDS (PRESIDENT)
(763) 475-9170
Entity
Organization
Contact information
Practice address
109 BUSHAWAY RD, SUITE 300, WAYZATA, MN 55391-1945
(952) 475-0225
Mailing address
109 BUSHAWAY RD, SUITE 300, WAYZATA, MN 55391-1945
(952) 475-0225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8146
MN
Other
Enumeration date
07/29/2006
Last updated
05/10/2011
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