| Tweet Pediatric Dentistry, Pllc | |
|
2665 W 78th St Chanhassen MN 55317-4502 | |
| (612) 834-1664 | |
| Not Available |
| Full Name | Tweet Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2665 W 78th St, Chanhassen, Minnesota |
| Authorized Official Name and Position | Tori Conrad (PRESIDENT) |
| Authorized Official Contact | 6128341664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tweet Pediatric Dentistry, Pllc 12 S 6th St Suite 1242 Minneapolis MN 55402-1508 Ph: () - | Tweet Pediatric Dentistry, Pllc 2665 W 78th St Chanhassen MN 55317-4502 Ph: (612) 834-1664 |
| NPI Number | 1144599135 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144599135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D12562 (Minnesota) | Primary |
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