Organization
MSP DENTISTRY, INC.
Active
Other names
Twin Cities Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAJID FEHRESTI D.D.S. (OWNER/DENTIST)
(763) 421-7900
Entity
Organization
Contact information
Practice address
12027 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4526
(763) 421-7900
(763) 421-7916
Mailing address
12027 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4526
(763) 421-7900
(763) 421-7916
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D12034
MN
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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