Oak Park Dental Clinic
Dentist, General Practice in Pine City, MN. Organization (NPI-2).
NPI number1508036070
StatusActive
Last updated in NPPESMar 12, 2008
Details
- NPI
- 1508036070
- Entity type
- Organization (NPI-2)
- Legal business name
- Oak Park Dental Clinic
- Organization subpart
- No
- Enumeration date
- Mar 11, 2008
- Last updated
- Mar 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
505 Johnson Ave SePine City, MN 55063-2108
Phone 320-629-2282 · Fax 320-629-3357
Mailing address
505 Johnson Ave SePine City, MN 55063-2108
Phone 320-629-2282 · Fax 320-629-3357
Authorized official
Jon E Cruz
Dentist/Owner
3206292282
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Other General Practice Dentistry providers in Pine City, MN
- 4th Avenue Dental, PA, Dba Oak Park DentalNPI 1609298355
- Dylan J Ascheman, DDSNPI 1376618405
- Carrie Carlson, DDSNPI 1568433563
- Jon E Cruz, DDSNPI 1720063589
- Elizabeth Ann Foss, DMDNPI 1306579396
- Oak Park Dental - Pine City LLCNPI 1225762255
- Kristie Ann Roberts, DDSNPI 1053372656
All 8 General Practice Dentistry providers in Pine City · All 183 providers in Pine City
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