Westwood Family Dental Pc | |
151 St. Andrews Ct Suite 1110 Mankato MN 56001 | |
(507) 625-3260 | |
(507) 625-7369 |
Full Name | Westwood Family Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 151 St. Andrews Ct Suite 1110, Mankato, Minnesota |
Authorized Official Name and Position | James Robert Simpson (PRES) |
Authorized Official Contact | 5076253260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Westwood Family Dental Pc 151 St Andrews Ct Suite 1110 Mankato MN 56001 Ph: (507) 625-3260 | Westwood Family Dental Pc 151 St. Andrews Ct Suite 1110 Mankato MN 56001 Ph: (507) 625-3260 |
NPI Number | 1346525631 |
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Provider Enumeration Date | 10/18/2011 |
Last Update Date | 05/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346525631 | NPI | - | NPPES |
1992845267 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D10968 (Minnesota) | Primary |
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