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King Tooth Pllc
Dental Clinic/Center in St Louis Park, Minnesota
NPI 1548577711

King Tooth Pllc is a Dental Clinic/Center based in St Louis Park, MN and is specialized in Dental. King Tooth Pllc practices in St Louis Park, MN. The NPI Number for King Tooth Pllc is 1548577711 and holds a License No. D12019 (Minnesota).

The current practice location address for King Tooth Pllc is 6100 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-929-4545.

Location: 6100 Excelsior Blvd, St Louis Park, MN, 55416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548577711
Provider Name
King Tooth Pllc
Credential
Provider Entity Type
Organization
Address
6100 Excelsior Blvd, St Louis Park, MN, 55416
Phone Number
952-929-4545
Fax Number
Provider Enumeration Date
09/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6100 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-929-4545
Fax Number
person
Provider Business Mailing Address Details
Address
6100 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-929-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D12019 (Minnesota)
Definition
Definition to come...
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