| Paul M Trygstad | |
|
123 Waterfront Dr Two Harbors MN 55616-1525 | |
| (218) 834-2354 | |
| Not Available |
| Full Name | Paul M Trygstad |
|---|---|
| Speciality | Dentist |
| Location | 123 Waterfront Dr, Two Harbors, Minnesota |
| Authorized Official Name and Position | Paul M Trygstad (OWNER) |
| Authorized Official Contact | 2188342354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul M Trygstad 123 Waterfront Dr Two Harbors MN 55616-1525 Ph: (218) 834-2354 | Paul M Trygstad 123 Waterfront Dr Two Harbors MN 55616-1525 Ph: (218) 834-2354 |
| NPI Number | 1407039274 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407039274 | NPI | - | NPPES |
| 389822900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9087 (Minnesota) | Primary |
Two Harbors Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 1st Ave, Two Harbors, MN 55616 Phone: 218-834-2011 Fax: 218-834-6028 | |
North Shore Dental Limited Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Waterfront Dr, Two Harbors, MN 55616 Phone: 218-834-2354 |