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 |