| Twin Cities Dental, Pa | |
|
12027 Business Park Blvd N Champlin MN 55316-4526 | |
| (763) 421-7900 | |
| Not Available |
| Full Name | Twin Cities Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12027 Business Park Blvd N, Champlin, Minnesota |
| Authorized Official Name and Position | Prem Kumar (OWNER) |
| Authorized Official Contact | 7634217900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Cities Dental, Pa 12027 Business Park Blvd N Champlin MN 55316-4526 Ph: (763) 421-7900 | Twin Cities Dental, Pa 12027 Business Park Blvd N Champlin MN 55316-4526 Ph: (763) 421-7900 |
| NPI Number | 1376877316 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376877316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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