| Lorris G. Vatnsdal, Ltd. | |
|
205a 2nd Ave Nw Roseau MN 56751-1007 | |
| (218) 463-2100 | |
| (218) 463-3055 |
| Full Name | Lorris G. Vatnsdal, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205a 2nd Ave Nw, Roseau, Minnesota |
| Authorized Official Name and Position | Lorris G. Vatnsdal (OWNER) |
| Authorized Official Contact | 2184632100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorris G. Vatnsdal, Ltd. Po Box 188 Roseau MN 56751-0188 Ph: (218) 463-2100 | Lorris G. Vatnsdal, Ltd. 205a 2nd Ave Nw Roseau MN 56751-1007 Ph: (218) 463-2100 |
| NPI Number | 1336204536 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336204536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8949 (Minnesota) | Primary |
Roseau Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 3rd St Ne, Suite A, Roseau, MN 56751 Phone: 218-450-2944 Fax: 218-450-2945 | |
Nghi Trinh-pham, Dds Dental Clinic Medicare: Medicare Enrolled Practice Location: 308 Center St W, Roseau, MN 56751 Phone: 218-463-1070 Fax: 218-463-1170 | |
J.m. Hallie Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 4th Ave Nw, Roseau, MN 56751 Phone: 218-463-2553 Fax: 218-463-9464 |