| NPI | 1922361526 |
|---|---|
| Doing Business As | TWIN CITIES MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RYAN HENRICKSON Dentist 651-777-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN 11920) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-07-13 |