| NPI | 1558719922 |
|---|---|
| Former Legal Business Name | TWIN CITIES DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAJID FEHRESTI Owner/Dentist 763-421-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN D12034) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |