Northwoods Dental | |
405 Henrietta Ave S Park Rapids MN 56470-2278 | |
(218) 732-1414 | |
Not Available |
Full Name | Northwoods Dental |
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Speciality | Dentist - General Practice |
Location | 405 Henrietta Ave S, Park Rapids, Minnesota |
Authorized Official Name and Position | Christina Taylor (OWNER/DENTIST) |
Authorized Official Contact | 2187321414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northwoods Dental 405 Henrietta Ave S Po Box 6 Park Rapids MN 56470-2278 Ph: (218) 732-1414 | Northwoods Dental 405 Henrietta Ave S Park Rapids MN 56470-2278 Ph: (218) 732-1414 |
NPI Number | 1316111982 |
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Provider Enumeration Date | 04/15/2008 |
Last Update Date | 10/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316111982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D11492 (Minnesota) | Primary |
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