Lakeview Dental Clinic | |
603 Bemidji Ave N Bemidji MN 56601-3015 | |
(218) 751-4523 | |
(218) 751-0285 |
Full Name | Lakeview Dental Clinic |
---|---|
Speciality | Dentist - General Practice |
Location | 603 Bemidji Ave N, Bemidji, Minnesota |
Authorized Official Name and Position | Angie Faye Webb (RECEPTIONIST) |
Authorized Official Contact | 2187514523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakeview Dental Clinic 603 Bemidji Ave N Bemidji MN 56601-3015 Ph: (218) 751-4523 | Lakeview Dental Clinic 603 Bemidji Ave N Bemidji MN 56601-3015 Ph: (218) 751-4523 |
NPI Number | 1750610721 |
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Provider Enumeration Date | 12/21/2009 |
Last Update Date | 12/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750610721 | NPI | - | NPPES |
1962575043 | Medicaid | MN | |
1821161910 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8362 (Minnesota) | Primary |
1223G0001X | Dentist - General Practice | 10118 (Minnesota) | Secondary |
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