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NPI Profile for MAIN STREET DENTAL CLINIC OF BLOOMING PRAIRIE PLLP in BLOOMING PRAIRIE, MN.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1518931880 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/14/2006 | |
| Last updated | 08/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAIN STREET DENTAL CLINIC OF BLOOMING PRAIRIE, PLLP
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MAIN STREET DENTAL CLINIC OF BLOOMING PRAIRIE, PLLP