Organization
PHS IHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A. TRAPP (CHIEF DENTAL OFFICER)
12189836289
Entity
Organization
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6284
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1036
ND
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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