| Clarissa Dental Clinic P.a. | |
|
214 Main St W Clarissa MN 56440-4500 | |
| (218) 756-2234 | |
| (218) 756-2427 |
| Full Name | Clarissa Dental Clinic P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 214 Main St W, Clarissa, Minnesota |
| Authorized Official Name and Position | John M Romstad (OWNER) |
| Authorized Official Contact | 2187562234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarissa Dental Clinic P.a. 214 Main St W P. O. Box 416 Clarissa MN 56440-4500 Ph: (218) 756-2234 | Clarissa Dental Clinic P.a. 214 Main St W Clarissa MN 56440-4500 Ph: (218) 756-2234 |
| NPI Number | 1972736403 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972736403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dominic Gagnon, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Main St W, Clarissa, MN 56440 Phone: 320-280-0466 | |
Clarissa Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Main St W, Clarissa, MN 56440 Phone: 218-756-2234 Fax: 218-756-2427 |