Houston Dental Clinic, Pc | |
109 E Maple St Houston MN 55943-8449 | |
(507) 896-2202 | |
Not Available |
Full Name | Houston Dental Clinic, Pc |
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Speciality | Clinic/center - Dental |
Location | 109 E Maple St, Houston, Minnesota |
Authorized Official Name and Position | Ronald Robert Evenson (DENTIST) |
Authorized Official Contact | 5078962202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Houston Dental Clinic, Pc 109 E Maple St Houston MN 55943-8449 Ph: (507) 896-2202 | Houston Dental Clinic, Pc 109 E Maple St Houston MN 55943-8449 Ph: (507) 896-2202 |
NPI Number | 1790977114 |
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Provider Enumeration Date | 08/10/2007 |
Last Update Date | 08/10/2007 |
Identifier | Type | State | Issuer |
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1790977114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Houston Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Maple St, Houston, MN 55943 Phone: 507-896-2202 |