Twin Cities Tmj & Facial Pain Clinic, Ltd.

NPI 1225201213 - Dentist - 122300000X

NPI Details
NPI 1225201213
Enumeration Date 04/10/2008
Last Updated 04/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DAVID CHARLES DAVID
Position PRESIDENT
Phone (952) 931-9961
Fax (952) 931-3944
Practice Location
6600 EXCELSIOR BLVD
SUITE 191
ST LOUIS PARK MN, 55426-4744, US
Phone (952) 931-9961
Fax (952) 931-3944
Business Location
6600 EXCELSIOR BLVD
SUITE 191
ST LOUIS PARK MN, 55426-4744, US
Phone (952) 931-9961
Fax (952) 931-3944
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 9577
Remove 1225201213 NPI Number
 

According to our database, Twin Cities Tmj & Facial Pain Clinic, Ltd. NPI is 1225201213, taxonomy code is 122300000X and license number is 9577, license state is located at Minnesota. Twin Cities Tmj & Facial Pain Clinic, Ltd. physically located at 6600 Excelsior Blvd, St Louis Park MN, 55426-4744. NPI Number 1033115704 has the healthcare provider type.

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1225201213 NPI number is provided on an as is basis without warranty of any kind. 1225201213 is maintained by the National Plan & Provider Enumeration System. The contents of Twin Cities Tmj & Facial Pain Clinic, Ltd. are for informational purposes only.