| |
608 Technology Dr Red Wing MN 55066-2846 | |
(651) 388-1806 | |
(651) 385-0432 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 608 Technology Dr, Red Wing, Minnesota |
Authorized Official Name and Position | Peg Noesen (OFFICE MANAGER) |
Authorized Official Contact | 6513881806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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608 Technology Dr Red Wing MN 55066-2846 Ph: (651) 388-1806 | 608 Technology Dr Red Wing MN 55066-2846 Ph: (651) 388-1806 |
NPI Number | 1043765142 |
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Provider Enumeration Date | 08/18/2016 |
Last Update Date | 08/18/2016 |
Identifier | Type | State | Issuer |
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1043765142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 9876 (Minnesota) | Primary |
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