Downtown Dental Care Pa

NPI 1073674529 - Dentist - 1223G0001X

NPI Details
NPI 1073674529
Enumeration Date 12/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KURT DAVID KURT
Position DOCTOR VICE PRESIDENT
Phone (218) 485-4455
Fax (218) 485-0227
Practice Location
304 ELM AVE
MOOSE LAKE MN, 55767, US
Phone (218) 485-4455
Fax (218) 485-0227
Business Location
PO BOX 587
304 ELM AVE
MOOSE LAKE MN, 55767, US
Phone (218) 485-4455
Fax (218) 485-0227
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Downtown Dental Care Pa NPI is 1073674529, taxonomy code is 1223G0001X Downtown Dental Care Pa physically located at 304 Elm Ave, Moose Lake MN, 55767. NPI Number 1033115704 has the healthcare provider type.

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1073674529 NPI number is provided on an as is basis without warranty of any kind. 1073674529 is maintained by the National Plan & Provider Enumeration System. The contents of Downtown Dental Care Pa are for informational purposes only.