Willmar Family Dentistry, P.a. | |
1016 1st St S Willmar MN 56201-3510 | |
(320) 235-2010 | |
(320) 235-7133 |
Full Name | Willmar Family Dentistry, P.a. |
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Speciality | Dentist |
Location | 1016 1st St S, Willmar, Minnesota |
Authorized Official Name and Position | Peter Jorgenson (DENTIST) |
Authorized Official Contact | 3202352010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Willmar Family Dentistry, P.a. 1016 1st St S Willmar MN 56201-3510 Ph: (320) 235-2010 | Willmar Family Dentistry, P.a. 1016 1st St S Willmar MN 56201-3510 Ph: (320) 235-2010 |
NPI Number | 1205204674 |
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Provider Enumeration Date | 09/02/2015 |
Last Update Date | 09/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205204674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9800 (Minnesota) | Primary |
125J00000X | Dental Therapist | DT54 (Minnesota) | Secondary |
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Willmar Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 1st St S, Willmar, MN 56201 Phone: 320-235-2010 | |
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