# MELSTROM DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Twin Oaks Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063725109
- **Authorized official:** DR. SARAH J MELSTROM D.D.S. (OWNER)
- **Authorized official phone:** (763) 757-8253

## Contact information

- **Practice address:** 11949 CENTRAL AVE NE, BLAINE, MN 55434-3911
- **Practice address phone:** (763) 757-8253
- **Mailing address:** 11949 CENTRAL AVE NE, BLAINE, MN 55434-3911
- **Mailing address phone:** (763) 757-8253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D11946 | MN | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 07/19/2010