| Black Bear Family Dental Pc | |
|
1628 30th St Nw Bemidji MN 56601-4690 | |
| (218) 444-2004 | |
| Not Available |
| Full Name | Black Bear Family Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1628 30th St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Veronica Cooper (PRESIDENT) |
| Authorized Official Contact | 2184442004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Bear Family Dental Pc 1628 30th St Nw Bemidji MN 56601-4690 Ph: (218) 444-2004 | Black Bear Family Dental Pc 1628 30th St Nw Bemidji MN 56601-4690 Ph: (218) 444-2004 |
| NPI Number | 1609344894 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609344894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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