| Center Street Dental Professionals, P.a. | |
|
308 Center St W Roseau MN 56751-1419 | |
| (218) 463-1070 | |
| (218) 463-1170 |
| Full Name | Center Street Dental Professionals, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 308 Center St W, Roseau, Minnesota |
| Authorized Official Name and Position | Nghi Trinh-pham (PRESIDENT) |
| Authorized Official Contact | 2184631070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Street Dental Professionals, P.a. 308 Center St W Roseau MN 56751-1419 Ph: (218) 463-1070 | Center Street Dental Professionals, P.a. 308 Center St W Roseau MN 56751-1419 Ph: (218) 463-1070 |
| NPI Number | 1346410909 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346410909 | NPI | - | NPPES |
| 1346410909 | Other | MN | FEE FOR SERVICE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8357 (Minnesota) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gracza & Gracza Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 3rd St Ne, Suite A, Roseau, MN 56751 Phone: 218-450-2944 Fax: 218-450-2945 | |
Lorris G. Vatnsdal, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205a 2nd Ave Nw, Roseau, MN 56751 Phone: 218-463-2100 Fax: 218-463-3055 | |
J.m. Hallie Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 4th Ave Nw, Roseau, MN 56751 Phone: 218-463-2553 Fax: 218-463-9464 |