| Joel R Duray Dds Ltd | |
|
758 1st St S Waite Park MN 56387-1315 | |
| (320) 253-1011 | |
| (320) 253-1034 |
| Full Name | Joel R Duray Dds Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 758 1st St S, Waite Park, Minnesota |
| Authorized Official Name and Position | Joel Randolph Duray (DENTIST/OWNER) |
| Authorized Official Contact | 3202531011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel R Duray Dds Ltd 758 1st St S Waite Park MN 56387-1315 Ph: (320) 253-1011 | Joel R Duray Dds Ltd 758 1st St S Waite Park MN 56387-1315 Ph: (320) 253-1011 |
| NPI Number | 1851982805 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851982805 | NPI | - | NPPES |
| 290814000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Albert Lee Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Great Oak Dr, Waite Park, MN 56387 Phone: 320-774-3610 |