Serenity Dental Arts | |
505 Woodley St W Northfield MN 55057-1681 | |
(507) 645-9669 | |
(507) 645-8341 |
Full Name | Serenity Dental Arts |
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Speciality | Dentist - General Practice |
Location | 505 Woodley St W, Northfield, Minnesota |
Authorized Official Name and Position | Aaron Paul Johnson (DENTIST/OWNER/PRESIDENT) |
Authorized Official Contact | 5076459669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Serenity Dental Arts 505 Woodley St W Northfield MN 55057-1681 Ph: (507) 645-9669 | Serenity Dental Arts 505 Woodley St W Northfield MN 55057-1681 Ph: (507) 645-9669 |
NPI Number | 1568612174 |
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Provider Enumeration Date | 09/19/2008 |
Last Update Date | 09/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568612174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D11928 (Minnesota) | Primary |
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Serenity Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Woodley St W, Northfield, MN 55057 Phone: 507-645-9669 Fax: 507-645-8341 | |
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