| D/b/a Esthetic Family Dentistry | |
|
150 Greenwood Ave W Box 547 Hector MN 55342 | |
| (320) 848-2611 | |
| (320) 848-2611 |
| Full Name | D/b/a Esthetic Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Greenwood Ave W, Hector, Minnesota |
| Authorized Official Name and Position | Jack M. Fiedler (OWNER) |
| Authorized Official Contact | 3208482611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D/b/a Esthetic Family Dentistry 150 Greenwood Ave W Box 547 Hector MN 55342 Ph: (320) 848-2611 | D/b/a Esthetic Family Dentistry 150 Greenwood Ave W Box 547 Hector MN 55342 Ph: (320) 848-2611 |
| NPI Number | 1982908000 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982908000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12373 (Minnesota) | Primary |
Westfield Dental Sleep Medicine Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Main Street South, Hector, MN 55342 Phone: 320-848-2611 Fax: 320-848-2610 | |
Esthetic Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Greenwood Ave, Hector, MN 55342 Phone: 320-848-2611 |