| Children's Dental Services | |
|
325 N Sibley Ave Litchfield MN 55355-2150 | |
| (612) 746-1530 | |
| (612) 746-1531 |
| Full Name | Children's Dental Services |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 325 N Sibley Ave, Litchfield, 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 325 N Sibley Ave Litchfield MN 55355-2150 Ph: (612) 746-1530 | Children's Dental Services 325 N Sibley Ave Litchfield MN 55355-2150 Ph: (612) 746-1530 |
| NPI Number | 1407224827 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407224827 | NPI | - | NPPES |
| 9212238 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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