| Anderson Family Dental Pa | |
|
209 Mclean Ave Coleraine MN 55722-0756 | |
| (218) 245-1278 | |
| (218) 245-1333 |
| Full Name | Anderson Family Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 Mclean Ave, Coleraine, Minnesota |
| Authorized Official Name and Position | Jordan David Anderson (OWNER) |
| Authorized Official Contact | 2182451278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Family Dental Pa Po Box 756 Coleraine MN 55722-0756 Ph: (218) 245-1278 | Anderson Family Dental Pa 209 Mclean Ave Coleraine MN 55722-0756 Ph: (218) 245-1278 |
| NPI Number | 1356697973 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356697973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12543 (Minnesota) | Primary |
Cedar Ridge Dental Centre Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Po Box J, 303 Powell Ave, Coleraine, MN 55722 Phone: 218-245-2451 | |
Cedar Ridge Dental Centre Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Powell Ave, Coleraine, MN 55722 Phone: 218-245-2451 |