| Quiram Dental, Psc | |
|
338 W Broadway Plainview MN 55964-1256 | |
| (507) 534-3127 | |
| (507) 534-2990 |
| Full Name | Quiram Dental, Psc |
|---|---|
| Speciality | Dentist |
| Location | 338 W Broadway, Plainview, Minnesota |
| Authorized Official Name and Position | Paul James Quiram (DENTIST) |
| Authorized Official Contact | 5075343127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quiram Dental, Psc 338 W Broadway Po Box 518 Plainview MN 55964-1256 Ph: (507) 534-3127 | Quiram Dental, Psc 338 W Broadway Plainview MN 55964-1256 Ph: (507) 534-3127 |
| NPI Number | 1710143110 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710143110 | NPI | - | NPPES |
| 63282290 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MND10446 (Minnesota) | Primary |
Plainview Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 W Broadway, Plainview, MN 55964 Phone: 507-534-3127 |