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Organization
TWO HARBORS FAMILY DENTAL, PA
Active
Organization
TWO HARBORS FAMILY DENTAL, PA
Active
Other names
Two Harbors Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENJAMIN YANKOVICH DDS (PRESIDENT)
(218) 409-2400
Entity
Organization
Contact information
Practice address
510 1ST AVE, TWO HARBORS, MN 55616-1504
(218) 834-2011
(218) 834-6028
Mailing address
510 1ST AVE, PO BOX 59, TWO HARBORS, MN 55616-1504
(218) 834-2011
(218) 834-6028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12388
MN
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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