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Contact Information

CENTRAL MINNESOTA ENDODONTICS, PA
1900 KRUCHTEN CT S
SUITE 100
SARTELL, MN56377-4730
 Phone: 320-656-1456
 Fax: 320-656-0195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CENTRAL MINNESOTA ENDODONTICS PA · (Female)

NPI # 1376785501
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2009
Last updated 04/02/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 11035
  • MN License # 11790
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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