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Organization

MILLE LACS BAND OF OJIBWE INDIANS

Active
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Organization

MILLE LACS BAND OF OJIBWE INDIANS

Active
Parent organization
MILLE LACS BAND OF OJIBWE INDIANS
Other names
Ne-Ia-Shing Dental Clinc
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Authorized official
NICOLE ANDERSON (COMMISSIONER OF HEALTH & HUMAN SERV)
(320) 532-4163
Entity
Organization

Contact information

Practice address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-2241
(320) 532-4163
Mailing address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
(320) 532-4163

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/09/2006
Last updated
10/14/2021
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