Organization
CARRIS HEALTH, LLC
Active
Other names
CentraCare - Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLAIR (CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 214-2620
(320) 235-4971
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
(320) 231-4971
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
03/06/2024
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