Prairie Dental Centers Pa | |
200 E Main St Ada MN 56510 | |
(218) 784-7119 | |
(218) 784-2381 |
Full Name | Prairie Dental Centers Pa |
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Speciality | Dentist - General Practice |
Location | 200 E Main St, Ada, Minnesota |
Authorized Official Name and Position | David Resnick (CFO) |
Authorized Official Contact | 2187847119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairie Dental Centers Pa 200 E Main St Ada MN 56510 Ph: (218) 784-7119 | Prairie Dental Centers Pa 200 E Main St Ada MN 56510 Ph: (218) 784-7119 |
NPI Number | 1447310636 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1447310636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 10681 (Minnesota) | Primary |
1223G0001X | Dentist - General Practice | 10680 (Minnesota) | Secondary |