| Tranquility Dental | |
|
7415 Wayzata Blvd Ste 201 St Louis Park MN 55426-1607 | |
| (952) 334-3304 | |
| Not Available |
| Full Name | Tranquility Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7415 Wayzata Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Melissa A Naidyhorski (PRESIDENT) |
| Authorized Official Contact | 9523343304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Dental 7415 Wayzata Blvd Ste 201 St Louis Park MN 55426-1607 Ph: (952) 334-3304 | Tranquility Dental 7415 Wayzata Blvd Ste 201 St Louis Park MN 55426-1607 Ph: (952) 334-3304 |
| NPI Number | 1114207362 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 08/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114207362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12247 (Minnesota) | Primary |
| 1223G0001X | Dentist - General Practice | D9460 (Minnesota) | Secondary |
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