Tla DDS Pllc

NPI #1073258471 in Crookston, Minnesota

Provider Information

NPI Number
1073258471
Entity Type
Organization
Organization Name
Tla DDS Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 29, 2022
Last Updated
May 20, 2022

Practice Location

Address
2211 SAHLSTROM DR STE A
ZIP Code
56716-2827
Phone
(218) 281-1301

Authorized Official

Name
TIARA APPLEQUIST, DDS
Title
OWNER
Phone
(218) 281-1301

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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