Organization
APOLLO DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOIS MAE BERSCHEID BRUNN D.D.S. (OWNER/CEO)
(507) 287-8320
Entity
Organization
Contact information
Practice address
3000 43RD ST NW, ROCHESTER, MN 55901-5847
(507) 287-8320
(507) 281-8757
Mailing address
3000 43RD ST NW, ROCHESTER, MN 55901-5847
(507) 287-8320
(507) 281-8757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13598
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D13598
MINNESOTA BOARD OF DENTISTRY LICENSE NUMBER
MN
Enumeration date
07/18/2015
Last updated
07/18/2015
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