Thomas M Dewerd DDS PA

NPI #1922099845 in Robbinsdale, Minnesota

Provider Information

NPI Number: 1922099845
Entity Type: Organization
Organization Name: Thomas M Dewerd DDS PA
Primary Specialty: Dentist
Enumeration Date: Oct 31, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 3359 W BROADWAY AVE
City: Robbinsdale
State: Minnesota
ZIP Code: 55422-2928
Phone: (763) 522-4451

Authorized Official

Name: DR. THOMAS MICHAEL DEWERD, DDS
Title: PRESIDENT
Phone: (763) 522-4451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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