| Clearbrook Dental Clinic, Ltd | |
|
113 Main St S Clearbrook MN 56634-0314 | |
| (218) 776-3558 | |
| (218) 776-2112 |
| Full Name | Clearbrook Dental Clinic, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 113 Main St S, Clearbrook, Minnesota |
| Authorized Official Name and Position | Randy Carl Beard (OWNER) |
| Authorized Official Contact | 2187763558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearbrook Dental Clinic, Ltd 113 Main St S Clearbrook MN 56634-0314 Ph: (218) 776-3558 | Clearbrook Dental Clinic, Ltd 113 Main St S Clearbrook MN 56634-0314 Ph: (218) 776-3558 |
| NPI Number | 1164511267 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164511267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10180 (Minnesota) | Primary |