Organization · Type 2 NPI
Tangletown Dental LLC
Dental Clinic/Center · Minneapolis, MN
NPI number
1558776815
Active
Practice location
4831 Nicollet Ave
Minneapolis, MN 55419-5534
Fax (612) 822-6763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 8320 (MN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1558776815
Tangletown Dental LLC's National Provider Identifier is 1558776815, issued on Jun 25, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 25, 2014.