| Two Harbors Family Dental | |
|
510 1st Ave Two Harbors MN 55616-1504 | |
| (218) 834-2011 | |
| (218) 834-6028 |
| Full Name | Two Harbors Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 1st Ave, Two Harbors, Minnesota |
| Authorized Official Name and Position | Robert Benjamin Yankovich (PRESIDENT) |
| Authorized Official Contact | 2184092400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Harbors Family Dental 510 1st Ave Po Box 59 Two Harbors MN 55616-1504 Ph: (218) 834-2011 | Two Harbors Family Dental 510 1st Ave Two Harbors MN 55616-1504 Ph: (218) 834-2011 |
| NPI Number | 1104379635 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104379635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12388 (Minnesota) | Primary |
Paul M Trygstad Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Waterfront Dr, Two Harbors, MN 55616 Phone: 218-834-2354 | |
North Shore Dental Limited Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Waterfront Dr, Two Harbors, MN 55616 Phone: 218-834-2354 |