| Pearl Dental | |
|
1716 2nd Ave N Sauk Rapids MN 56379-2756 | |
| (320) 654-9999 | |
| (320) 240-2319 |
| Full Name | Pearl Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1716 2nd Ave N, Sauk Rapids, Minnesota |
| Authorized Official Name and Position | Christopher Paul Mertensotto (DENTIST/OWNER) |
| Authorized Official Contact | 3206549999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Dental 1716 2nd Ave N Sauk Rapids MN 56379-2756 Ph: (320) 654-9999 | Pearl Dental 1716 2nd Ave N Sauk Rapids MN 56379-2756 Ph: (320) 654-9999 |
| NPI Number | 1558612887 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558612887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12157 (Minnesota) | Primary |
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