Tamarack Hills Family Dentistry | |
707 Bielenberg Dr Suite101 Woodbury MN 55125-1426 | |
(651) 304-6017 | |
(651) 964-3548 |
Full Name | Tamarack Hills Family Dentistry |
---|---|
Speciality | Dentist |
Location | 707 Bielenberg Dr, Woodbury, Minnesota |
Authorized Official Name and Position | Avinash Matha (OWNER/DENTIST) |
Authorized Official Contact | 6519643747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tamarack Hills Family Dentistry 707 Bielenberg Dr Suite101 Woodbury MN 55125-1426 Ph: (651) 964-3747 | Tamarack Hills Family Dentistry 707 Bielenberg Dr Suite101 Woodbury MN 55125-1426 Ph: (651) 304-6017 |
NPI Number | 1811392665 |
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Provider Enumeration Date | 10/22/2014 |
Last Update Date | 12/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811392665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D11742 (Minnesota) | Primary |
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