Moorse Dental Psc
Dentist in Olivia, MN. Organization (NPI-2).
NPI number1073594891
StatusActive
Last updated in NPPESNov 24, 2009
Details
- NPI
- 1073594891
- Entity type
- Organization (NPI-2)
- Legal business name
- Moorse Dental Psc
- Organization subpart
- No
- Enumeration date
- Nov 9, 2005
- Last updated
- Nov 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D11030 | MN | Yes |
Other names
- Olivia Family Dental (Doing Business As)
Practice location
907 W Lincoln AveOlivia, MN 56277-4215
Phone 320-523-1441 · Fax 320-523-1441
Mailing address
907 W Lincoln AveOlivia, MN 56277-4215
Phone 320-523-1441 · Fax 320-523-1441
Authorized official
Mark Joseph Moorse
President
3205231441
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