Michael J Harrison Dds Pa | |
1421 East Wayzata Blvd Suite 320 Wayzata MN 55391-1939 | |
(952) 475-2907 | |
Not Available |
Full Name | Michael J Harrison Dds Pa |
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Speciality | Dentist |
Location | 1421 East Wayzata Blvd, Wayzata, Minnesota |
Authorized Official Name and Position | Michael J Harrison (PRESIDENT) |
Authorized Official Contact | 9524752907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael J Harrison Dds Pa 1421 East Wayzata Blvd Suite 320 Wayzata MN 55391-1939 Ph: (952) 475-2907 | Michael J Harrison Dds Pa 1421 East Wayzata Blvd Suite 320 Wayzata MN 55391-1939 Ph: (952) 475-2907 |
NPI Number | 1043355225 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1043355225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D10529 (Minnesota) | Primary |
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