Organization
THOMAS M DEWERD DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL DEWERD DDS (PRESIDENT)
(763) 522-4451
Entity
Organization
Contact information
Practice address
3359 W BROADWAY AVE, ROBBINSDALE, MN 55422-2928
(763) 522-4451
(763) 522-2464
Mailing address
3359 W BROADWAY AVE, ROBBINSDALE, MN 55422-2928
(763) 522-4451
(763) 522-2464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9357
MN
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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