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Organization
MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
Active
Organization
MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MARCHEL (SECRETARY, TREASURER)
(218) 333-8119
Entity
Organization
Contact information
Practice address
616 AMERICA AVE NW STE 340, ATTENTION MARY MARCHELL, BEMIDJI, MN 56601-3871
(218) 333-8119
Mailing address
616 AMERICA AVE NW STE 340, ATTENTION MARY MARCHELL, BEMIDJI, MN 56601-3871
(218) 333-8119
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
MN
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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