Freeman Lee Waynewood D.D.S.

NPI 1063586659 - Dentist - 1223G0001X

NPI Details
NPI 1063586659
Gender Male
Enumeration Date 11/17/2006
Last Updated 02/01/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
393 DUNLAP ST N STE 650
SAINT PAUL MN, 55104-4216, US
Phone (651) 647-9697
Fax (651) 646-2771
Business Location
393 DUNLAP ST N STE 650
SAINT PAUL MN, 55104-4216, US
Phone (651) 647-9697
Fax (651) 646-2771
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 8084
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According to our database, Dr. Freeman Lee Waynewood D.D.S. NPI is 1063586659, taxonomy code is 1223G0001X and license number is 8084, license state is located at Minnesota. Freeman Lee Waynewood D.D.S. physically located at 393 Dunlap St N Ste 650, Saint Paul MN, 55104-4216. NPI Number Freeman Lee Waynewood D.D.S. has the Individual type.

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1063586659 NPI number is provided on an as is basis without warranty of any kind. 1063586659 is maintained by the National Plan & Provider Enumeration System. The contents of Freeman Lee Waynewood D.D.S. are for informational purposes only.