| Morris Dental Clinic, Pa | |
|
300 Park Street East Annandale MN 55302 | |
| (320) 274-8555 | |
| Not Available |
| Full Name | Morris Dental Clinic, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 Park Street East, Annandale, Minnesota |
| Authorized Official Name and Position | Eric Jere Rambow (DENTIST/PRESIDENT) |
| Authorized Official Contact | 3205892161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris Dental Clinic, Pa 300 Park St E Annandale MN 55302-1207 Ph: (320) 274-8555 | Morris Dental Clinic, Pa 300 Park Street East Annandale MN 55302 Ph: (320) 274-8555 |
| NPI Number | 1295100626 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295100626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Annandale Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 Oak Ave S, Unit #3, Annandale, MN 55302 Phone: 320-274-2475 Fax: 320-274-3152 |