Twin Cities Sedation Dental, P.a.
NPI #1932505583 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1932505583
- Entity Type
- Organization
- Organization Name
- Twin Cities Sedation Dental, P.a.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 10, 2014
- Last Updated
- Nov 10, 2014
Practice Location
- Address
- 808 W BROADWAY AVE
- Address 2
- SUITE A
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-3769
- Phone
- (651) 674-7096
Authorized Official
- Name
- SARAH M BURT, RDH, MDH
- Title
- OPERATIONS DIRECTOR
- Phone
- (651) 674-7096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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