| Willmar Family Dentistry, P.a. | |
|
1016 1st St S Willmar MN 56201-3510 | |
| (320) 235-2010 | |
| (320) 235-7133 |
| Full Name | Willmar Family Dentistry, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1016 1st St S, Willmar, Minnesota |
| Authorized Official Name and Position | Peter Jorgenson (DENTIST) |
| Authorized Official Contact | 3202352010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willmar Family Dentistry, P.a. 1016 1st St S Willmar MN 56201-3510 Ph: (320) 235-2010 | Willmar Family Dentistry, P.a. 1016 1st St S Willmar MN 56201-3510 Ph: (320) 235-2010 |
| NPI Number | 1205204674 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205204674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9800 (Minnesota) | Primary |
| 125J00000X | Dental Therapist | DT54 (Minnesota) | Secondary |
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Willmar Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 1st St S, Willmar, MN 56201 Phone: 320-235-2010 | |
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