| Monticello Dental Center | |
|
20460 Co. Rd.11 Nw Big Lake MN 55309 | |
| (763) 263-7100 | |
| Not Available |
| Full Name | Monticello Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20460 Co. Rd.11 Nw, Big Lake, Minnesota |
| Authorized Official Name and Position | Joseph Dean Calpas (OWNER) |
| Authorized Official Contact | 7632637100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Dental Center 20460 Co. Rd.11 Nw Big Lake MN 55309 Ph: (763) 263-7100 | Monticello Dental Center 20460 Co. Rd.11 Nw Big Lake MN 55309 Ph: (763) 263-7100 |
| NPI Number | 1942481593 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942481593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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