| NPI | 1962742650 |
|---|---|
| Doing Business As | TAILWIND PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TAYLOR J STEPHENS President/Owner 952-475-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D12818) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2014-01-14 |