Organization
TWIN CITIES PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J SKINNER DDS (OWNER)
(952) 935-9009
Entity
Organization
Contact information
Practice address
6600 EXCELSIOR BLVD STE 180, ST LOUIS PARK, MN 55426-4713
(952) 935-9009
(952) 935-1006
Mailing address
6600 EXCELSIOR BLVD STE 180, ST LOUIS PARK, MN 55426-4713
(952) 935-9009
(952) 935-1006
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D11998
MN
Other
Enumeration date
12/17/2007
Last updated
04/28/2008
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