| West Range Dental Pllc | |
|
1043 E Us Highway 169 Grand Rapids MN 55744-3165 | |
| (218) 326-2560 | |
| Not Available |
| Full Name | West Range Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1043 E Us Highway 169, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Kyle Donovan Hammer (OWNER PRESIDENT) |
| Authorized Official Contact | 2183484012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Range Dental Pllc 9 Eastridge Blvd Duluth MN 55804-3124 Ph: (218) 348-4012 | West Range Dental Pllc 1043 E Us Highway 169 Grand Rapids MN 55744-3165 Ph: (218) 326-2560 |
| NPI Number | 1437978004 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437978004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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