| Her And Man Town Dental Pllc | |
|
4135 Richard Ave Ste 103 Hermantown MN 55811-2979 | |
| (218) 722-2428 | |
| (218) 722-0142 |
| Full Name | Her And Man Town Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4135 Richard Ave Ste 103, Hermantown, Minnesota |
| Authorized Official Name and Position | Tracey Makitalo (INSURANCE COORDINATOR) |
| Authorized Official Contact | 2187222428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Her And Man Town Dental Pllc 4135 Richard Ave Ste 103 Hermantown MN 55811-2979 Ph: (218) 722-2428 | Her And Man Town Dental Pllc 4135 Richard Ave Ste 103 Hermantown MN 55811-2979 Ph: (218) 722-2428 |
| NPI Number | 1275362329 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275362329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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