Organization
NORTHLAND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYCLARE JENSEN (OFFICE MANAGER)
(218) 262-5536
Entity
Organization
Contact information
Practice address
2011 3RD AVE E, HIBBING, MN 55746-1731
(218) 262-5536
(218) 263-8554
Mailing address
2011 3RD AVE E, HIBBING, MN 55746-1731
(218) 262-5536
(218) 263-8554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7167
MN
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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