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Organization
EAST CENTRAL DENTAL CLINIC, PA
Active
Organization
EAST CENTRAL DENTAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. RADZIUN D.D.S. (PRESIDENT)
(320) 396-4417
Entity
Organization
Contact information
Practice address
110 5TH ST NW, BRAHAM, MN 55006-3015
(320) 396-4417
(320) 396-4417
Mailing address
PO BOX 170, BRAHAM, MN 55006-0170
(320) 396-4417
(320) 396-4417
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9743
MN
Other
Enumeration date
06/11/2006
Last updated
11/30/2014
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