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Organization

MSP DENTISTRY INC

Active
Parent organization
MSP DENTISTRY INC.
Other names
Twin Cities Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
MSP DENTISTRY INC.
Authorized official
MAJID FEHRESTI DDS (OWNER/DDS)
(763) 421-7900
Entity
Organization

Contact information

Practice address
13650 HANSON BLVD., SUITE #110, ANDOVER, MN 55304
(763) 421-7900
(763) 421-7916
Mailing address
13650 HANSON BLVD., SUITE #110, ANDOVER, MN 55304
(763) 421-7900
(763) 421-7916

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D12034
MN

Other

Enumeration date
08/15/2017
Last updated
08/15/2017
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