| King Tooth Pllc | |
|
6100 Excelsior Blvd Suite East St Louis Park MN 55416 | |
| (952) 929-4545 | |
| Not Available |
| Full Name | King Tooth Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6100 Excelsior Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Sherif Said (OWNER) |
| Authorized Official Contact | 9529294545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Tooth Pllc 6100 Excelsior Blvd Suite East St Louis Park MN 55416 Ph: (952) 929-4545 | King Tooth Pllc 6100 Excelsior Blvd Suite East St Louis Park MN 55416 Ph: (952) 929-4545 |
| NPI Number | 1548577711 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548577711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12019 (Minnesota) | Primary |
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