| Dental Center Of America, Pc | |
|
1521 Northway Dr Suite 102 Saint Cloud MN 56303-4489 | |
| (320) 229-2205 | |
| (320) 229-2207 |
| Full Name | Dental Center Of America, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1521 Northway Dr, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Mohamed Hammam (PRESIDENT) |
| Authorized Official Contact | 3202292205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Of America, Pc 1521 Northway Dr Suite 102 Saint Cloud MN 56303-4489 Ph: (320) 229-2205 | Dental Center Of America, Pc 1521 Northway Dr Suite 102 Saint Cloud MN 56303-4489 Ph: (320) 229-2205 |
| NPI Number | 1972778561 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972778561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12186 (Minnesota) | Primary |
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