Organization
PAUL M TRYGSTAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M TRYGSTAD DDS (OWNER)
(218) 834-2354
Entity
Organization
Contact information
Practice address
123 WATERFRONT DR, TWO HARBORS, MN 55616-1525
(218) 834-2354
Mailing address
123 WATERFRONT DR, TWO HARBORS, MN 55616-1525
(218) 834-2354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9087
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389822900
—
MN
Enumeration date
12/14/2007
Last updated
10/21/2008
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