Organization
GREAT RIVER ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDREW KARN DMD (PRESIDENT)
(320) 259-5078
Entity
Organization
Contact information
Practice address
9381 CEDAR ST., MONTICELLO, MN 55362
(763) 295-2222
(763) 295-2249
Mailing address
622 ROOSEVELT RD. SUITE 180, ST. CLOUD, MN 56301
(320) 259-5078
(320) 259-1484
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11880
MN
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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