| Albertville Family Dental | |
|
5047 Jason Ave Ne Albertville MN 55301-9688 | |
| (763) 497-8165 | |
| (763) 497-8162 |
| Full Name | Albertville Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5047 Jason Ave Ne, Albertville, Minnesota |
| Authorized Official Name and Position | Patrick Gary Becicka (DOCTOR / OWNER) |
| Authorized Official Contact | 7634978165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albertville Family Dental 5047 Jason Ave Ne Albertville MN 55301-9688 Ph: (763) 497-8165 | Albertville Family Dental 5047 Jason Ave Ne Albertville MN 55301-9688 Ph: (763) 497-8165 |
| NPI Number | 1033726161 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033726161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Albertville Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5047 Jason Ave Ne, Albertville, MN 55301 Phone: 763-497-8165 | |
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