Polycarp Dental Plc | |
1465 N Frontage Rd Hastings MN 55033-2355 | |
(651) 273-8132 | |
Not Available |
Full Name | Polycarp Dental Plc |
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Speciality | Dentist - General Practice |
Location | 1465 N Frontage Rd, Hastings, Minnesota |
Authorized Official Name and Position | J Bradford Morgan (OWNER) |
Authorized Official Contact | 6512738132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Polycarp Dental Plc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Polycarp Dental Plc 1465 N Frontage Rd Hastings MN 55033-2355 Ph: (651) 273-8132 |
NPI Number | 1770138323 |
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Provider Enumeration Date | 08/09/2019 |
Last Update Date | 06/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770138323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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