Tailwind Pediatric Dentistry | |
111 Hundertmark Rd Suite 304n Chaska MN 55318-4551 | |
(952) 475-3135 | |
Not Available |
Full Name | Tailwind Pediatric Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 111 Hundertmark Rd, Chaska, Minnesota |
Authorized Official Name and Position | Taylor Stephens (OWNER/PRESIDENT) |
Authorized Official Contact | 9524753135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tailwind Pediatric Dentistry 250 Central Ave N Suite 113 Wayzata MN 55391-1206 Ph: (952) 475-3135 | Tailwind Pediatric Dentistry 111 Hundertmark Rd Suite 304n Chaska MN 55318-4551 Ph: (952) 475-3135 |
NPI Number | 1063834588 |
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Provider Enumeration Date | 01/17/2014 |
Last Update Date | 01/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063834588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D12818 (Minnesota) | Primary |
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