Moorse Dental Psc

NPI 1073594891 - Dentist - 122300000X

NPI Details
NPI 1073594891
Enumeration Date 11/09/2005
Last Updated 11/24/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARK JOSEPH MARK
Position PRESIDENT
Phone (320) 523-1441
Fax (320) 523-1441
Practice Location
907 W LINCOLN AVE
OLIVIA MN, 56277-4215, US
Phone (320) 523-1441
Fax (320) 523-1441
Business Location
907 W LINCOLN AVE
OLIVIA MN, 56277-4215, US
Phone (320) 523-1441
Fax (320) 523-1441
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D11030
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According to our database, Moorse Dental Psc NPI is 1073594891, taxonomy code is 122300000X and license number is D11030, license state is located at Minnesota. Moorse Dental Psc physically located at 907 W Lincoln Ave, Olivia MN, 56277-4215. NPI Number 1033115704 has the healthcare provider type.

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1073594891 NPI number is provided on an as is basis without warranty of any kind. 1073594891 is maintained by the National Plan & Provider Enumeration System. The contents of Moorse Dental Psc are for informational purposes only.