| Ad Astrum LLC | |
|
2219 Paul Bunyan Dr Nw Ste 6-7 Bemidji MN 56601-6188 | |
| (218) 751-2659 | |
| Not Available |
| Full Name | Ad Astrum LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2219 Paul Bunyan Dr Nw Ste 6-7, Bemidji, Minnesota |
| Authorized Official Name and Position | Katherine Sonoda (OWNER) |
| Authorized Official Contact | 2187512659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad Astrum LLC 5215 S Durango Dr Ste 3 Las Vegas NV 89113-0163 | Ad Astrum LLC 2219 Paul Bunyan Dr Nw Ste 6-7 Bemidji MN 56601-6188 Ph: (218) 751-2659 |
| NPI Number | 1346829157 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346829157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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