| Full Name | Tpc Enterprises |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 403 1st Ave E, Shakopee, Minnesota |
| Authorized Official Name and Position | Marissa Smith (OFFICE MANAGER) |
| Authorized Official Contact | 9524455556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpc Enterprises 403 1st Ave E Shakopee MN 55379-1439 Ph: (952) 445-5556 | Tpc Enterprises 403 1st Ave E Shakopee MN 55379-1439 Ph: (952) 445-5556 |
| NPI Number | 1770137655 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770137655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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