| Thomas M Dewerd Dds Pa | |
|
3359 W Broadway Ave Robbinsdale MN 55422-2928 | |
| (763) 522-4451 | |
| (763) 522-2464 |
| Full Name | Thomas M Dewerd Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 3359 W Broadway Ave, Robbinsdale, Minnesota |
| Authorized Official Name and Position | Thomas Michael Dewerd (PRESIDENT) |
| Authorized Official Contact | 7635224451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Dewerd Dds Pa 3359 W Broadway Ave Robbinsdale MN 55422-2928 Ph: (763) 522-4451 | Thomas M Dewerd Dds Pa 3359 W Broadway Ave Robbinsdale MN 55422-2928 Ph: (763) 522-4451 |
| NPI Number | 1922099845 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922099845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9357 (Minnesota) | Primary |
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