Organization
TWO HARBORS FAMILY DENTAL, PA
Active
Other names
Two Harbors Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENJAMIN YANKOVICH DDS (PRESIDENT)
(218) 409-2400
Entity
Organization
Contact information
Practice address
510 1ST AVE, TWO HARBORS, MN 55616-1504
(218) 834-2011
(218) 834-6028
Mailing address
510 1ST AVE, PO BOX 59, TWO HARBORS, MN 55616-1504
(218) 834-2011
(218) 834-6028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12388
MN
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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