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Organization

CAMARA GOOD LLC

Active
Other names
Wayzata Periodontics and Implants
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENEE CAMARA DDS MS (OWNER)
(952) 473-9779
Entity
Organization

Contact information

Practice address
250 N CENTRAL AVE, SUITE 300, WAYZATA, MN 55391
(952) 473-9779
(952) 473-9570
Mailing address
250 N CENTRAL AVE, SUITE 300, WAYZATA, MN 55391
(952) 473-9779
(952) 473-9570

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11718
MN

Other

Enumeration date
09/30/2013
Last updated
09/30/2013
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