Organization
EINERSON FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOWELL EVERETT EINERSON D.D.S. (PRESIDENT)
(320) 763-6803
Entity
Organization
Contact information
Practice address
1400 HAWTHORNE ST, SUITE 1, ALEXANDRIA, MN 56308-4549
(320) 763-3445
Mailing address
1400 HAWTHORNE ST, SUITE 1, ALEXANDRIA, MN 56308-4549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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