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612-13th. St. So. Virginia MN 55792 | |
| (218) 741-0405 | |
| (218) 741-1445 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 612-13th. St. So., Virginia, Minnesota |
| Authorized Official Name and Position | John T. Zupancic (SECRETARY - DENTIST) |
| Authorized Official Contact | 2187410405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
612-13th. St. So. Virginia MN 55792 Ph: (218) 741-0405 | 612-13th. St. So. Virginia MN 55792 Ph: (218) 741-0405 |
| NPI Number | 1518295567 |
|---|---|
| Provider Enumeration Date | 12/03/2009 |
| Last Update Date | 12/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518295567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Range Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Chestnut St, Suite 200, Virginia, MN 55792 Phone: 218-741-0089 | |
Dental Associates, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N 3rd Ave, Virginia, MN 55792 Phone: 218-741-9251 Fax: 218-741-1747 | |
Virginia Family Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 4th St N, Virginia, MN 55792 Phone: 218-741-0405 Fax: 218-741-1445 | |
David D Witschen D.d.s. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 9th St N, Virginia, MN 55792 Phone: 218-741-5070 Fax: 218-293-6002 | |
Dennis L Carlson Family Dentistry Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W Chestnut St, 200 Tini Square Bldg, Virginia, MN 55792 Phone: 218-741-0089 |