| Albert Lea Dental Clinic Pa | |
|
1206 W Front St Albert Lea MN 56007-1903 | |
| (507) 373-5968 | |
| (507) 373-8410 |
| Full Name | Albert Lea Dental Clinic Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1206 W Front St, Albert Lea, Minnesota |
| Authorized Official Name and Position | Robert G Herold (OWNER) |
| Authorized Official Contact | 5073735968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Lea Dental Clinic Pa 1206 W Front St Albert Lea MN 56007-1903 Ph: (507) 373-5968 | Albert Lea Dental Clinic Pa 1206 W Front St Albert Lea MN 56007-1903 Ph: (507) 373-5968 |
| NPI Number | 1790856847 |
|---|---|
| Provider Enumeration Date | 11/12/2006 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790856847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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