| Oak Park Dental - Pine City Llc | |
|
505 Johnson Ave Se Pine City MN 55063-2108 | |
| (320) 629-2282 | |
| Not Available |
| Full Name | Oak Park Dental - Pine City Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 505 Johnson Ave Se, Pine City, Minnesota |
| Authorized Official Name and Position | Genie Kuble (ACCESS MANAGER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Park Dental - Pine City Llc 505 Johnson Ave Se Pine City MN 55063-2108 Ph: (320) 329-2282 | Oak Park Dental - Pine City Llc 505 Johnson Ave Se Pine City MN 55063-2108 Ph: (320) 629-2282 |
| NPI Number | 1225762255 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225762255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Oak Park Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Johnson Ave Se, Pine City, MN 55063 Phone: 320-629-2282 Fax: 320-629-3357 | |
4th Avenue Dental, Pa, Dba Oak Park Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Johnson Ave Se, Pine City, MN 55063 Phone: 320-629-2282 Fax: 320-629-3357 |