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Organization
FERGUS FALLS DENTAL GROUP
Active
Organization
FERGUS FALLS DENTAL GROUP
Active
Other names
DEPARTMENT OF HUMAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE RENEE KVERN (MANGER/SUPERVISOR)
(218) 739-7254
Entity
Organization
Contact information
Practice address
1121 PEBBLE LAKE ROAD, BOX 503, FERGUS FALLS, MN 56537
(218) 739-7254
(218) 739-7253
Mailing address
1121 PEBBLE LAKE ROAD, PO BOX 503, FERGUS FALLS, MN 56537
(218) 739-7254
(218) 739-7253
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
9845
MN
Other
Enumeration date
11/08/2005
Last updated
08/22/2020
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