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Organization
TWIN CITIES SEDATION DENTAL, P.A.
Active
Organization
TWIN CITIES SEDATION DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH M BURT RDH, MDH (OPERATIONS DIRECTOR)
(651) 674-7096
Entity
Organization
Contact information
Practice address
808 W BROADWAY AVE, SUITE A, FOREST LAKE, MN 55025-3769
(651) 674-7096
Mailing address
6460 MAIN ST, NORTH BRANCH, MN 55056-7068
(651) 674-7096
(651) 203-7373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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