| Hanson And Fonkert Dental Clinic Pa | |
|
1101 South First Street Suite 3 Willmar MN 56201-3595 | |
| (320) 235-2780 | |
| (320) 235-8838 |
| Full Name | Hanson And Fonkert Dental Clinic Pa |
|---|---|
| Speciality | Dentist |
| Location | 1101 South First Street, Willmar, Minnesota |
| Authorized Official Name and Position | Tomi Jean Pirrotta (OFFICE MANAGER) |
| Authorized Official Contact | 3202352780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanson And Fonkert Dental Clinic Pa 1101 South First Street Suite 3 Willmar MN 56201-3595 Ph: (320) 235-2780 | Hanson And Fonkert Dental Clinic Pa 1101 South First Street Suite 3 Willmar MN 56201-3595 Ph: (320) 235-2780 |
| NPI Number | 1750465753 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750465753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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