Organization
BEMIDJI DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE H WELLNER DDS (PRESIDENT)
(218) 751-4460
Entity
Organization
Contact information
Practice address
2600 BEMIDJI AVE N, BEMIDJI, MN 56601
(218) 751-4460
Mailing address
2600 BEMIDJI AVE N, BEMIDJI, MN 56601
(218) 751-4460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10693
MN
1223G0001X
General Practice Dentistry
Primary
7899
MN
1223G0001X
General Practice Dentistry
D10878
MN
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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