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Organization
TWIN CITIES DENTAL, PA
Active
Organization
TWIN CITIES DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREM KUMAR DDS (OWNER)
(763) 421-7900
Entity
Organization
Contact information
Practice address
12027 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4526
(763) 421-7900
Mailing address
12027 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4526
(763) 421-7900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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