| Erickson,holbeck.and Zupancic Dental | |
|
12 North Broadway Gilbert MN 55741-0608 | |
| (218) 741-5357 | |
| (218) 741-5455 |
| Full Name | Erickson,holbeck.and Zupancic Dental |
|---|---|
| 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 |
|---|---|
| Erickson,holbeck.and Zupancic Dental Po Box 608 12 North Broadway Gilbert MN 55741-0608 Ph: (218) 741-5357 | Erickson,holbeck.and Zupancic Dental 12 North Broadway Gilbert MN 55741-0608 Ph: (218) 741-5357 |
| NPI Number | 1164568200 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164568200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4616767 (Minnesota) | Primary |
Virginia/gilbert Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 North Broadway, Gilbert, MN 55741 Phone: 218-741-5357 Fax: 218-741-5455 |