Lone Oak Family Dentistry | |
205 W Johnson Ave Ste. 3 Warren MN 56762-1118 | |
(218) 745-4601 | |
(218) 745-4600 |
Full Name | Lone Oak Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 205 W Johnson Ave, Warren, Minnesota |
Authorized Official Name and Position | Travis Ammen Hanel (DENTIST) |
Authorized Official Contact | 2187454601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lone Oak Family Dentistry 205 W Johnson Ave Ste. 3 Warren MN 56762-1118 Ph: (218) 745-4601 | Lone Oak Family Dentistry 205 W Johnson Ave Ste. 3 Warren MN 56762-1118 Ph: (218) 745-4601 |
NPI Number | 1053739698 |
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Provider Enumeration Date | 04/01/2014 |
Last Update Date | 04/01/2014 |
Identifier | Type | State | Issuer |
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1053739698 | NPI | - | NPPES |
473990600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D12024 (Minnesota) | Primary |