| Bohnsack Family Dentistry, Pllc | |
|
100 3rd St Sw Cokato MN 55321-4595 | |
| (320) 286-5333 | |
| (320) 286-5631 |
| Full Name | Bohnsack Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 3rd St Sw, Cokato, Minnesota |
| Authorized Official Name and Position | Andrew William Bohnsack (OWNER/PRESIDENT) |
| Authorized Official Contact | 3202865333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohnsack Family Dentistry, Pllc Po Box 669 100 3rd St W Cokato MN 55321-0669 Ph: (320) 286-5333 | Bohnsack Family Dentistry, Pllc 100 3rd St Sw Cokato MN 55321-4595 Ph: (320) 286-5333 |
| NPI Number | 1396081782 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396081782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13157 (Minnesota) | Primary |
Fiedler Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Olsen Blvd Ne Ste 200, Cokato, MN 55321 Phone: 320-286-2712 | |
Bruce Bohnsack Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 3rd St Sw, Cokato, MN 55321 Phone: 320-286-5333 Fax: 320-286-5631 |