Organization
AKSHAAN PLLC
Active
Other names
Tamarack Hills Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVINASH MATHA DDS (OWNER/DENTIST)
(651) 964-3747
Entity
Organization
Contact information
Practice address
707 BIELENBERG DR, SUITE101, WOODBURY, MN 55125-1426
(651) 304-6017
(651) 964-3548
Mailing address
707 BIELENBERG DR, SUITE101, WOODBURY, MN 55125-1426
(651) 964-3747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11742
MN
Other
Enumeration date
10/22/2014
Last updated
12/04/2015
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