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North Shore Dental Limited

Dentist in Two Harbors, MN. Organization (NPI-2).

NPI number1669912697
StatusActive
Last updated in NPPESFeb 23, 2017

Details

NPI
1669912697
Entity type
Organization (NPI-2)
Legal business name
North Shore Dental Limited
Organization subpart
No
Enumeration date
Feb 23, 2017
Last updated
Feb 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist11906MNYes

Practice location

123 Waterfront Dr
Two Harbors, MN 55616-1525

Phone 218-834-2354

Mailing address

123 Waterfront Dr
Two Harbors, MN 55616-1525

Phone 218-834-2354

Authorized official

Jeffrey J Bertani
Owner
2185251921

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