Organization
BOHNSACK FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WILLIAM BOHNSACK DDS (OWNER/PRESIDENT)
(320) 286-5333
Entity
Organization
Contact information
Practice address
100 3RD ST SW, COKATO, MN 55321-4595
(320) 286-5333
(320) 286-5631
Mailing address
PO BOX 669, 100 3RD ST W, COKATO, MN 55321-0669
(320) 286-5333
(320) 286-5631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13157
MN
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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