Parkside Dental Pc | |
701 3rd St Ne Minot ND 58703-2401 | |
(701) 852-5333 | |
Not Available |
Full Name | Parkside Dental Pc |
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Speciality | Dentist - General Practice |
Location | 701 3rd St Ne, Minot, North Dakota |
Authorized Official Name and Position | Lowell L Cheney (PRESIDENT) |
Authorized Official Contact | 7018525333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Parkside Dental Pc 701 3rd St Ne Minot ND 58703-2401 Ph: () - | Parkside Dental Pc 701 3rd St Ne Minot ND 58703-2401 Ph: (701) 852-5333 |
NPI Number | 1588838106 |
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Provider Enumeration Date | 04/15/2008 |
Last Update Date | 04/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588838106 | NPI | - | NPPES |
41332 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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