| White Birch Dental, Pllc | |
|
510 1st St Princeton MN 55371-1604 | |
| (763) 389-1373 | |
| (763) 389-0538 |
| Full Name | White Birch Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 1st St, Princeton, Minnesota |
| Authorized Official Name and Position | Heidi Anne Lund (DENTIST) |
| Authorized Official Contact | 7633891373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Birch Dental, Pllc 510 1st St Princeton MN 55371-1604 Ph: (763) 389-1373 | White Birch Dental, Pllc 510 1st St Princeton MN 55371-1604 Ph: (763) 389-1373 |
| NPI Number | 1598202319 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598202319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D13243 (Minnesota) | Primary |
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