Organization
TWIN CITIES TMJ & FACIAL PAIN CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHARLES STREIF DDS (PRESIDENT)
(952) 931-9961
Entity
Organization
Contact information
Practice address
6600 EXCELSIOR BLVD, SUITE 191, ST LOUIS PARK, MN 55426-4744
(952) 931-9961
(952) 931-3944
Mailing address
6600 EXCELSIOR BLVD, SUITE 191, ST LOUIS PARK, MN 55426-4744
(952) 931-9961
(952) 931-3944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9577
MN
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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