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Organization
BELGRADE FAMILY DENTAL
Active
Organization
BELGRADE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MCGREW D.D.S. (CEO)
(320) 293-5380
Entity
Organization
Contact information
Practice address
500 BORGERDING AVE, BELGRADE, MN 56312-4533
(320) 293-5380
Mailing address
PO BOX 68, PIERZ, MN 56364-0068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12231
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
629412100
—
MN
Enumeration date
04/11/2011
Last updated
04/11/2011
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