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1101 2nd St S Ste 209 Sartell MN 56377-2133 | |
| (320) 331-3000 | |
| (320) 257-5859 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1101 2nd St S, Sartell, Minnesota |
| Authorized Official Name and Position | S Bassas (GENERAL MANAGER) |
| Authorized Official Contact | 3203313000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1101 2nd St S Ste 209 Sartell MN 56377-2133 Ph: (320) 331-3000 | 1101 2nd St S Ste 209 Sartell MN 56377-2133 Ph: (320) 331-3000 |
| NPI Number | 1518402395 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518402395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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