| Willmar Family Dentistry, Pa | |
|
1016 1st St S Willmar MN 56201-3510 | |
| (320) 235-2010 | |
| Not Available |
| Full Name | Willmar Family Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1016 1st St S, Willmar, Minnesota |
| Authorized Official Name and Position | Peter M Jorgenson (C.E.O.) |
| Authorized Official Contact | 3202352010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willmar Family Dentistry, Pa 1016 1st St S Willmar MN 56201-3510 Ph: (320) 235-2010 | Willmar Family Dentistry, Pa 1016 1st St S Willmar MN 56201-3510 Ph: (320) 235-2010 |
| NPI Number | 1376615450 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376615450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9800 (Minnesota) | Primary |
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