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Tla Dds Pllc
Dental Clinic/Center in Crookston, Minnesota
NPI 1073258471

Tla Dds Pllc is a Dental Clinic/Center based in Crookston, MN and is specialized in Dental. Tla Dds Pllc practices in Crookston, MN. The NPI Number for Tla Dds Pllc is 1073258471 and holds a License No. (Minnesota).

The current practice location address for Tla Dds Pllc is 2211 Sahlstrom Dr Ste A, Crookston, MN and can be reached out via phone at 218-281-1301.

Location: 2211 Sahlstrom Dr Ste A, Crookston, MN, 56716-2827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073258471
Provider Name
Tla Dds Pllc
Credential
Provider Entity Type
Organization
Address
2211 Sahlstrom Dr Ste A, Crookston, MN, 56716-2827
Phone Number
218-281-1301
Fax Number
Provider Enumeration Date
04/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2211 Sahlstrom Dr Ste A
City
Crookston
State
Minnesota
Zip
56716-2827
Phone Number
218-281-1301
Fax Number
person
Provider Business Mailing Address Details
Address
2211 Sahlstrom Dr Ste A
City
Crookston
State
Minnesota
Zip
56716-2827
Phone Number
218-281-1301
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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