Organization
MOELLER MURRAY PA
Active
Other names
Northwoods Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE MOELLER DDS (TREASURER / OWNER)
(425) 256-1728
Entity
Organization
Contact information
Practice address
405 HENRIETTA AVE S, PARK RAPIDS, MN 56470-2278
(218) 732-1414
(218) 732-7519
Mailing address
PO BOX 6, PARK RAPIDS, MN 56470-0006
(218) 732-1414
(218) 732-7519
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D13314
MN
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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