NPI 1285883777

Wayzata Endodontics, PA

Organisation Dental Clinic/Center Hutchinson, MN

Practice location

Address: 1015 Highway 15 S Plaza 15, Hutchinson, MN 55350
Phone: (952) 476-0070
Mailing address: 250 Central Ave N Suite 303, Wayzata, MN 55391-1206

Authorised official

Name: Michael John Tulkki
Title: President
Phone: (952) 476-0070

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence D11543 (MN)

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1285883777
Entity type: Organization
NPI issued: 9 Sep 2008
Record last updated: 9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.