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Organization

NORTHLAND SMILES CORPORATION PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENDALL LEWIS DAMMEIER (OWNER)
(218) 534-3141
Entity
Organization

Contact information

Practice address
21343 ARCHIBALD ROAD, DEERWOOD, MN 56444
(218) 534-3141
Mailing address
PO BOX 385, DEERWOOD, MN 56444-0385
(218) 534-3141

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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