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12 North Broadway Gilbert MN 55741-0608 | |
(218) 741-5357 | |
(218) 741-5455 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 12 North Broadway, Gilbert, Minnesota |
Authorized Official Name and Position | Joyce Elaine Roppe (BUSINESS MANAGER) |
Authorized Official Contact | 2187415357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 608 12 North Broadway Gilbert MN 55741-0608 Ph: (218) 741-5357 | 12 North Broadway Gilbert MN 55741-0608 Ph: (218) 741-5357 |
NPI Number | 1164568200 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
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1164568200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4616767 (Minnesota) | Primary |