Twin Cities Dental, PA

NPI #1376877316 in Champlin, Minnesota

Provider Information

NPI Number: 1376877316
Entity Type: Organization
Organization Name: Twin Cities Dental, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 23, 2009
Last Updated: Sep 23, 2009

Practice Location

Address: 12027 BUSINESS PARK BLVD N
City: Champlin
State: Minnesota
ZIP Code: 55316-4526
Phone: (763) 421-7900

Authorized Official

Name: DR. PREM KUMAR, DDS
Title: OWNER
Phone: (763) 421-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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