Organization
MORRIS DENTAL CLINIC, PA
Active
Other names
Laketown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JERE RAMBOW DDS (DENTIST/PRESIDENT)
(320) 589-2161
Entity
Organization
Contact information
Practice address
300 PARK STREET EAST, ANNANDALE, MN 55302
(320) 274-8555
Mailing address
300 PARK ST E, ANNANDALE, MN 55302-1207
(320) 274-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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