| Fiedler Dentistry, Pa | |
|
115 Olsen Blvd Ne Ste 200 Cokato MN 55321-4797 | |
| (320) 286-2712 | |
| Not Available |
| Full Name | Fiedler Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 115 Olsen Blvd Ne Ste 200, Cokato, Minnesota |
| Authorized Official Name and Position | Jack M Fiedler (OWNER) |
| Authorized Official Contact | 3202862712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiedler Dentistry, Pa 115 Olsen Blvd Ne Ste 200 Po Box 548 Cokato MN 55321-4797 Ph: (320) 286-2712 | Fiedler Dentistry, Pa 115 Olsen Blvd Ne Ste 200 Cokato MN 55321-4797 Ph: (320) 286-2712 |
| NPI Number | 1508280009 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508280009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12373 (Minnesota) | Primary |
Bohnsack Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 3rd St Sw, Cokato, MN 55321 Phone: 320-286-5333 Fax: 320-286-5631 | |
Bruce Bohnsack Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 3rd St Sw, Cokato, MN 55321 Phone: 320-286-5333 Fax: 320-286-5631 |