| Great River Dentistry Of Bemidji, Pllc | |
|
3622 Moberg Dr Nw Bemidji MN 56601-5644 | |
| (218) 751-4216 | |
| (218) 444-6057 |
| Full Name | Great River Dentistry Of Bemidji, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3622 Moberg Dr Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Baret Williams-furfaro (OWNER DDS) |
| Authorized Official Contact | 2187514216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Dentistry Of Bemidji, Pllc Po Box 1005 Bemidji MN 56619-1005 Ph: (218) 751-4216 | Great River Dentistry Of Bemidji, Pllc 3622 Moberg Dr Nw Bemidji MN 56601-5644 Ph: (218) 751-4216 |
| NPI Number | 1982156147 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982156147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Minnesota) | Primary |
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