Organization
DOMINIC GAGNON, D.D.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC J GAGNON DDS (DENTIST)
(218) 756-2234
Entity
Organization
Contact information
Practice address
214 MAIN ST W, CLARISSA, MN 56440
(320) 280-0466
Mailing address
214 MAIN ST W, CLARISSA, MN 56440-4500
(218) 756-2234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
08/04/2018
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