| Theisen Dental | |
|
22 2nd Ave S Sauk Rapids MN 56379-1408 | |
| (320) 252-7806 | |
| (320) 252-9044 |
| Full Name | Theisen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22 2nd Ave S, Sauk Rapids, Minnesota |
| Authorized Official Name and Position | Erika Marie Theisen (OWNER) |
| Authorized Official Contact | 3202527806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theisen Dental 22 2nd Ave S Sauk Rapids MN 56379-1408 Ph: (320) 252-7806 | Theisen Dental 22 2nd Ave S Sauk Rapids MN 56379-1408 Ph: (320) 252-7806 |
| NPI Number | 1538548573 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538548573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12795 (Minnesota) | Primary |
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