| Tla Dds Pllc | |
|
2211 Sahlstrom Dr Ste A Crookston MN 56716-2827 | |
| (218) 281-1301 | |
| Not Available |
| Full Name | Tla Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2211 Sahlstrom Dr Ste A, Crookston, Minnesota |
| Authorized Official Name and Position | Tiara Applequist (OWNER) |
| Authorized Official Contact | 2182811301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tla Dds Pllc 2211 Sahlstrom Dr Ste A Crookston MN 56716-2827 Ph: (218) 281-1301 | Tla Dds Pllc 2211 Sahlstrom Dr Ste A Crookston MN 56716-2827 Ph: (218) 281-1301 |
| NPI Number | 1073258471 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073258471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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