Organization
MELSTROM DENTAL PLLC
Active
Other names
Twin Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH J MELSTROM D.D.S. (OWNER)
(763) 757-8253
Entity
Organization
Contact information
Practice address
11949 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 757-8253
Mailing address
11949 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 757-8253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11946
MN
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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