| Clarissa Family Dental | |
|
214 Main St W Clarissa MN 56440-4500 | |
| (218) 756-2234 | |
| (218) 756-2427 |
| Full Name | Clarissa Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 214 Main St W, Clarissa, Minnesota |
| Authorized Official Name and Position | Jeralyn B Bowie (OWNER) |
| Authorized Official Contact | 2187562234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarissa Family Dental 214 Main St W P. O. Box 416 Clarissa MN 56440-4500 Ph: (218) 756-2234 | Clarissa Family Dental 214 Main St W Clarissa MN 56440-4500 Ph: (218) 756-2234 |
| NPI Number | 1780908962 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780908962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dominic Gagnon, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Main St W, Clarissa, MN 56440 Phone: 320-280-0466 | |
Clarissa Dental Clinic P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Main St W, Clarissa, MN 56440 Phone: 218-756-2234 Fax: 218-756-2427 |