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Organization
PLUM TREE DENTAL
Active
Organization
PLUM TREE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA SPARKMAN DMD (OWNER/DENTIST)
(218) 749-1776
Entity
Organization
Contact information
Practice address
202 S 5TH AVE, VIRGINIA, MN 55792-2638
(218) 749-1776
(218) 749-0866
Mailing address
202 S 5TH AVE, VIRGINIA, MN 55792-2638
(218) 749-1776
(218) 749-0866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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