| Dominic Gagnon, D.d.s., P.l.l.c. | |
|
214 Main St W Clarissa MN 56440 | |
| (320) 280-0466 | |
| Not Available |
| Full Name | Dominic Gagnon, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 Main St W, Clarissa, Minnesota |
| Authorized Official Name and Position | Dominic J Gagnon (DENTIST) |
| Authorized Official Contact | 2187562234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Gagnon, D.d.s., P.l.l.c. 214 Main St W Clarissa MN 56440-4500 Ph: (218) 756-2234 | Dominic Gagnon, D.d.s., P.l.l.c. 214 Main St W Clarissa MN 56440 Ph: (320) 280-0466 |
| NPI Number | 1215386792 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 08/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215386792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Clarissa Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Main St W, Clarissa, MN 56440 Phone: 218-756-2234 Fax: 218-756-2427 | |
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 |