Organization
DENTAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E GODMARE DDS (PRESIDENT)
(218) 741-9251
Entity
Organization
Contact information
Practice address
108 N 3RD AVE, VIRGINIA, MN 55792-2519
(218) 741-9251
(218) 741-1747
Mailing address
PO BOX 1247, VIRGINIA, MN 55792-1247
(218) 741-9251
(218) 741-1747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9169
MN
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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