| Southside Dental Center | |
|
201 Sandberg Rd Monticello MN 55362-8906 | |
| (763) 295-5400 | |
| (763) 295-1785 |
| Full Name | Southside Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 Sandberg Rd, Monticello, Minnesota |
| Authorized Official Name and Position | Derek Daniel Abramowski (OWNER) |
| Authorized Official Contact | 7632292613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Dental Center 201 Sandberg Rd Monticello MN 55362-8906 Ph: (763) 295-5400 | Southside Dental Center 201 Sandberg Rd Monticello MN 55362-8906 Ph: (763) 295-5400 |
| NPI Number | 1538533989 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538533989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D13279 (Minnesota) | Primary |
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