Organization
TWIN CITIES ORAL & MAXILLOFACIAL SURGERY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY HERDING (OFFICE MANAGER)
(651) 437-3262
Entity
Organization
Contact information
Practice address
925 HIGHWAY 55, 202, HASTINGS, MN 55033-3734
(651) 437-3262
Mailing address
925 HIGHWAY 55, 202, HASTINGS, MN 55033-3734
(651) 437-3262
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
11/19/2008
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