| Children's Dental Services | |
|
229 W Lake St Chisholm MN 55719 | |
| (612) 746-1530 | |
| Not Available |
| Full Name | Children's Dental Services |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 229 W Lake St, Chisholm, Minnesota |
| Authorized Official Name and Position | Sarah Wovcha (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6127461530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Services 636 Broadway St Ne Minneapolis MN 55413-2164 Ph: (612) 746-1530 | Children's Dental Services 229 W Lake St Chisholm MN 55719 Ph: (612) 746-1530 |
| NPI Number | 1669842662 |
|---|---|
| Provider Enumeration Date | 10/02/2015 |
| Last Update Date | 08/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669842662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Chisholm Dental Service Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 1st St Nw, Chisholm, MN 55719 Phone: 218-254-3311 Fax: 218-254-4531 |