| Pleasant Avenue Dentistry Pllc | |
|
406 Pleasant Ave S Park Rapids MN 56470-1428 | |
| (218) 237-7200 | |
| Not Available |
| Full Name | Pleasant Avenue Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 406 Pleasant Ave S, Park Rapids, Minnesota |
| Authorized Official Name and Position | Benjamin Sitz (OWNER/PRESIDENT) |
| Authorized Official Contact | 2182377200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Avenue Dentistry Pllc 406 Pleasant Ave S Park Rapids MN 56470-1428 Ph: (218) 237-7200 | Pleasant Avenue Dentistry Pllc 406 Pleasant Ave S Park Rapids MN 56470-1428 Ph: (218) 237-7200 |
| NPI Number | 1679157622 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679157622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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