NPI | 1124544895 |
---|---|
Doing Business As | TWIN CITIES DENTAL |
Entity Type | Organization |
Authorized Contact | MAJID FEHRESTI Owner/Dds 763-421-7900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN D12034) |
Enumeration Date | 2017-08-15 |
Last Update Date | 2017-08-15 |