Howard Lake Dental | |
612 8th Ave # 664 Howard Lake MN 55349-5137 | |
(320) 543-2233 | |
(320) 543-2368 |
Full Name | Howard Lake Dental |
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Speciality | Dentist - General Practice |
Location | 612 8th Ave # 664, Howard Lake, Minnesota |
Authorized Official Name and Position | Michael John Thoennes (CEO) |
Authorized Official Contact | 3204854344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Howard Lake Dental 612 8th Ave # 664 Howard Lake MN 55349-5137 Ph: (320) 543-2233 | Howard Lake Dental 612 8th Ave # 664 Howard Lake MN 55349-5137 Ph: (320) 543-2233 |
NPI Number | 1073780805 |
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Provider Enumeration Date | 05/12/2008 |
Last Update Date | 05/12/2008 |
Identifier | Type | State | Issuer |
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1073780805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D08971 (Minnesota) | Primary |
Luce Line Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 8th Ave, Howard Lake, MN 55349 Phone: 320-583-4369 |