Organization
CLEARBROOK DENTAL CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY CARL BEARD D.D.S. (OWNER)
(218) 776-3558
Entity
Organization
Contact information
Practice address
113 MAIN ST S, CLEARBROOK, MN 56634-0314
(218) 776-3558
(218) 776-2112
Mailing address
113 MAIN ST S, CLEARBROOK, MN 56634-0314
(218) 776-3558
(218) 776-2112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10180
MN
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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