Hancock And Chokio Dental | |
657 Atlantic Ave Hancock MN 56244-2104 | |
(320) 392-5300 | |
(320) 392-5302 |
Full Name | Hancock And Chokio Dental |
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Speciality | Clinic/center - Dental |
Location | 657 Atlantic Ave, Hancock, Minnesota |
Authorized Official Name and Position | Timothy J Carlson (OWNER/PRESIDENT) |
Authorized Official Contact | 3203925300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hancock And Chokio Dental 657 Atlantic Ave Po Box 395 Hancock MN 56244-2104 Ph: (320) 392-5300 | Hancock And Chokio Dental 657 Atlantic Ave Hancock MN 56244-2104 Ph: (320) 392-5300 |
NPI Number | 1003278870 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 03/22/2016 |
Identifier | Type | State | Issuer |
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1003278870 | NPI | - | NPPES |
1306931720 | Other | MN | NPI |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | D10212 (Minnesota) | Primary |