| Dr. James Knutson | |
|
119 Lake St S Suite 1 Mora MN 55051-1576 | |
| (320) 679-2435 | |
| (320) 679-0401 |
| Full Name | Dr. James Knutson |
|---|---|
| Speciality | Dentist |
| Location | 119 Lake St S, Mora, Minnesota |
| Authorized Official Name and Position | James H Knutson (DDS) |
| Authorized Official Contact | 3206792435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. James Knutson 119 Lake St S Suite 1 Mora MN 55051-1576 Ph: (320) 679-2435 | Dr. James Knutson 119 Lake St S Suite 1 Mora MN 55051-1576 Ph: (320) 679-2435 |
| NPI Number | 1487095220 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487095220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8314 (Minnesota) | Primary |
| 122300000X | Dentist | D11152 (Minnesota) | Secondary |
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