Organization
TRIGEMINAL DENTAL SYSTEMS, INC
Active
Other names
Minnesota Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG BHATT (OWNER)
(612) 250-8515
Entity
Organization
Contact information
Practice address
4820 MINNETONKA BLVD, SUITE 202, ST LOUIS PARK, MN 55416-2263
(612) 250-8515
Mailing address
4820 MINNETONKA BLVD, SUITE 202, ST LOUIS PARK, MN 55416-2263
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
08/28/2013
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