National Provider Identifier Database

ESTHETIC FAMILY DENTISTRY PC
Dental


Contact Information

ESTHETIC FAMILY DENTISTRY PC
150 GREENWOOD AVE
HECTOR, MN55342
Phone: 320-848-2611
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for ESTHETIC FAMILY DENTISTRY PC

NPI Number 1871726331
Legal business name
LBN
ESTHETIC FAMILY DENTISTRY PC
Authorized official DANIEL MENSER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/01/2009
Last updated 09/01/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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