| Bremseth Family Dental Pa | |
|
621 W 4th St Red Wing MN 55066-2413 | |
| (651) 388-3535 | |
| (651) 388-5152 |
| Full Name | Bremseth Family Dental Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 621 W 4th St, Red Wing, Minnesota |
| Authorized Official Name and Position | Craig Lloyd Bremseth (OWNER) |
| Authorized Official Contact | 6513883535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bremseth Family Dental Pa 621 W 4th St Red Wing MN 55066-2413 Ph: (651) 388-3535 | Bremseth Family Dental Pa 621 W 4th St Red Wing MN 55066-2413 Ph: (651) 388-3535 |
| NPI Number | 1609105816 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609105816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10623 (Minnesota) | Primary |
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