Twin Cities Tmj & Facial Pain Clinic, Ltd. | |
6600 Excelsior Blvd Suite 191 St Louis Park MN 55426-4744 | |
(952) 931-9961 | |
(952) 931-3944 |
Full Name | Twin Cities Tmj & Facial Pain Clinic, Ltd. |
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Speciality | Dentist |
Location | 6600 Excelsior Blvd, St Louis Park, Minnesota |
Authorized Official Name and Position | David Charles Streif (PRESIDENT) |
Authorized Official Contact | 9529319961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Twin Cities Tmj & Facial Pain Clinic, Ltd. 6600 Excelsior Blvd Suite 191 St Louis Park MN 55426-4744 Ph: (952) 931-9961 | Twin Cities Tmj & Facial Pain Clinic, Ltd. 6600 Excelsior Blvd Suite 191 St Louis Park MN 55426-4744 Ph: (952) 931-9961 |
NPI Number | 1225201213 |
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Provider Enumeration Date | 04/10/2008 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
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1225201213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 9577 (Minnesota) | Primary |
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