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Organization
COUNTY OF MURRAY
Active
Organization
COUNTY OF MURRAY
Active
Other names
Shetek Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NARLA N. HULSTEIN (CLINIC MANAGER)
(507) 836-1000
Entity
Organization
Contact information
Practice address
2711 BROADWAY AVE STE 100, SLAYTON, MN 56172-1313
(507) 836-1000
(507) 836-1008
Mailing address
2711 BROADWAY AVE STE 100, SLAYTON, MN 56172-1313
(507) 836-1000
(507) 836-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8027057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791987500
—
MN
Enumeration date
12/14/2006
Last updated
06/16/2008
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