Henry David Watzl DDS

NPI 1053538579 - Dentist - 1223G0001X

NPI Details
NPI 1053538579
Gender Male
Enumeration Date 04/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9202 202ND ST W STE 201
LAKEVILLE MN, 55044-7917, US
Phone (952) 469-2818
Fax
Business Location
3894 KESTREL ST SW
PRIOR LAKE MN, 55372-4424, US
Phone (952) 270-1794
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D11074
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According to our database, Henry David Watzl DDS NPI is 1053538579, taxonomy code is 1223G0001X and license number is D11074, license state is located at Minnesota. Henry David Watzl DDS physically located at 9202 202nd St W Ste 201, Lakeville MN, 55044-7917. NPI Number Henry David Watzl DDS has the Individual type.

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1053538579 NPI number is provided on an as is basis without warranty of any kind. 1053538579 is maintained by the National Plan & Provider Enumeration System. The contents of Henry David Watzl DDS are for informational purposes only.