| Gaylord Dental Inc | |
|
Fourth Street 312 Gaylord MN 55334-0093 | |
| (507) 237-2200 | |
| Not Available |
| Full Name | Gaylord Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | Fourth Street, Gaylord, Minnesota |
| Authorized Official Name and Position | Anil K Mahajan (DENTIST) |
| Authorized Official Contact | 5072372200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaylord Dental Inc Po Box 93 Gaylord MN 55334-0093 Ph: (507) 237-2200 | Gaylord Dental Inc Fourth Street 312 Gaylord MN 55334-0093 Ph: (507) 237-2200 |
| NPI Number | 1811162829 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811162829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11931 (Minnesota) | Primary |