| Kandi Dental Center, Pa | |
|
400 24th Ave Se Willmar MN 56201-5326 | |
| (320) 235-9363 | |
| Not Available |
| Full Name | Kandi Dental Center, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 24th Ave Se, Willmar, Minnesota |
| Authorized Official Name and Position | Nicholas Jay Marcus (OWNER) |
| Authorized Official Contact | 6122028945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kandi Dental Center, Pa 400 24th Ave Se Willmar MN 56201-5326 Ph: (320) 235-9363 | Kandi Dental Center, Pa 400 24th Ave Se Willmar MN 56201-5326 Ph: (320) 235-9363 |
| NPI Number | 1831835156 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831835156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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