| Richard C Axel, Dds, Pa | |
|
239 N Medina Loretto MN 55357 | |
| (763) 479-2922 | |
| Not Available |
| Full Name | Richard C Axel, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 239 N Medina, Loretto, Minnesota |
| Authorized Official Name and Position | Richard Carlyle Axel (PRESIDENT) |
| Authorized Official Contact | 7634792922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Axel, Dds, Pa Po Box 68 Loretto MN 55357-0068 Ph: (763) 479-2922 | Richard C Axel, Dds, Pa 239 N Medina Loretto MN 55357 Ph: (763) 479-2922 |
| NPI Number | 1922146869 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922146869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7654 (Minnesota) | Primary |