| NPI | 1700302742 |
|---|---|
| Doing Business As | TWIN CITIES MODERN DENTISTRY-BURNSVILLE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MILLER Manager 651-777-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |