| NPI | 1811392665 |
|---|---|
| Doing Business As | TAMARACK HILLS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AVINASH MATHA Owner/Dentist 651-964-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D11742) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2015-12-04 |