| North Shore Family Dental | |
|
1932 London Rd Duluth MN 55812-2038 | |
| (218) 728-2144 | |
| (218) 529-1623 |
| Full Name | North Shore Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1932 London Rd, Duluth, Minnesota |
| Authorized Official Name and Position | Calvin Brent Haworth (DENTIST) |
| Authorized Official Contact | 2187282144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Family Dental 1932 London Rd Duluth MN 55812-2038 Ph: (218) 728-2144 | North Shore Family Dental 1932 London Rd Duluth MN 55812-2038 Ph: (218) 728-2144 |
| NPI Number | 1508074485 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508074485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9070 (Minnesota) | Primary |
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