Heritage Dental Care Ltd | |
2011 Jefferson Road Northfield MN 55057-3159 | |
(507) 645-9543 | |
(507) 645-5612 |
Full Name | Heritage Dental Care Ltd |
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Speciality | Dentist - General Practice |
Location | 2011 Jefferson Road, Northfield, Minnesota |
Authorized Official Name and Position | John H Ehresmann (OWNER) |
Authorized Official Contact | 5076459543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heritage Dental Care Ltd 2011 Jefferson Road Northfield MN 55057-3159 Ph: (507) 645-9543 | Heritage Dental Care Ltd 2011 Jefferson Road Northfield MN 55057-3159 Ph: (507) 645-9543 |
NPI Number | 1932329638 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1932329638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D8879 (Minnesota) | Primary |
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