Virginia Family Dental P.a. | |
802 4th St N Virginia MN 55792-2451 | |
(218) 741-0405 | |
(218) 741-1445 |
Full Name | Virginia Family Dental P.a. |
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Speciality | Clinic/center - Dental |
Location | 802 4th St N, Virginia, Minnesota |
Authorized Official Name and Position | Michael Bryan Miskovich (DENTIST) |
Authorized Official Contact | 2187410405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Virginia Family Dental P.a. 802 4th St N Virginia MN 55792-2451 Ph: (218) 741-0405 | Virginia Family Dental P.a. 802 4th St N Virginia MN 55792-2451 Ph: (218) 741-0405 |
NPI Number | 1336568781 |
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Provider Enumeration Date | 04/14/2014 |
Last Update Date | 04/14/2014 |
Identifier | Type | State | Issuer |
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1336568781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D12649 (Minnesota) | Primary |
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