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Organization
MADISON-NELSON FAMILY DENTISTRY
Active
Organization
MADISON-NELSON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MADISON (DENTIST)
(218) 722-7831
Entity
Organization
Contact information
Practice address
324 W SUPERIOR ST STE 700, DULUTH, MN 55802-1721
(218) 722-7831
Mailing address
324 W SUPERIOR ST STE 700, DULUTH, MN 55802-1721
(218) 722-7831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10521
MN
1223G0001X
General Practice Dentistry
D11583
MN
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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