Organization · Type 2 NPI
Tla DDS PLLC
Dental Clinic/Center · Crookston, MN
NPI number
1073258471
Active
Practice location
2211 Sahlstrom Dr Ste A
Crookston, MN 56716-2827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1073258471
Tla DDS PLLC's National Provider Identifier is 1073258471, issued on Apr 29, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Crookston, MN. The record was last updated on May 20, 2022.