| Dba 'loban Dental' | |
|
1011 E Central Entrance Duluth MN 55811-5545 | |
| (218) 722-1715 | |
| (218) 727-3217 |
| Full Name | Dba 'loban Dental' |
|---|---|
| Speciality | Dentist |
| Location | 1011 E Central Entrance, Duluth, Minnesota |
| Authorized Official Name and Position | Daniel J Loban (OWNER/OFFICER) |
| Authorized Official Contact | 2187221715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba 'loban Dental' 1011 E Central Entrance Duluth MN 55811-5545 Ph: (218) 722-1715 | Dba 'loban Dental' 1011 E Central Entrance Duluth MN 55811-5545 Ph: (218) 722-1715 |
| NPI Number | 1174232664 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174232664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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