Winsted Dental Pllc | |
123 Fairlawn Ave W Winsted MN 55395-7837 | |
(320) 485-3881 | |
Not Available |
Full Name | Winsted Dental Pllc |
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Speciality | Dentist |
Location | 123 Fairlawn Ave W, Winsted, Minnesota |
Authorized Official Name and Position | Kennth Duane Ness (PRESIDENT) |
Authorized Official Contact | 3202752520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Winsted Dental Pllc 27392 734th Ave Dassel MN 55325-3258 Ph: () - | Winsted Dental Pllc 123 Fairlawn Ave W Winsted MN 55395-7837 Ph: (320) 485-3881 |
NPI Number | 1265853139 |
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Provider Enumeration Date | 12/19/2013 |
Last Update Date | 12/19/2013 |
Identifier | Type | State | Issuer |
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1265853139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D9676 (Minnesota) | Primary |
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