Organization
BIWABIK FAMILY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BAKKE DDS (DENTIST)
(218) 865-4131
Entity
Organization
Contact information
Practice address
508 MAIN ST. SOUTH, BIWABIK, MN 55708
(218) 865-4131
Mailing address
PO BOX 549, 508 MAIN ST. SOUTH, BIWABIK, MN 55708
(218) 865-4131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11822
MN
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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