| Rice Regional Dental Clinic | |
|
301 Becker Ave Sw Willmar MN 56201-3302 | |
| (320) 214-2621 | |
| Not Available |
| Full Name | Rice Regional Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Becker Ave Sw, Willmar, Minnesota |
| Authorized Official Name and Position | Bill Fenske (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3202314009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rice Regional Dental Clinic 301 Becker Ave Sw Willmar MN 56201-3302 Ph: (320) 214-2621 | Rice Regional Dental Clinic 301 Becker Ave Sw Willmar MN 56201-3302 Ph: (320) 214-2621 |
| NPI Number | 1205016078 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205016078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Centracare - Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-214-2620 Fax: 320-235-4971 | |
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