Organization
CHISHOLM DENTAL SERVICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD GOODMAN SWENNES III DDS (DENTIST)
(218) 254-3311
Entity
Organization
Contact information
Practice address
217 1ST ST NW, CHISHOLM, MN 55719-1701
(218) 254-3311
(218) 254-4531
Mailing address
PO BOX 632, CHISHOLM, MN 55719-0632
(218) 254-3311
(218) 254-4531
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3613539
MN
Other
Enumeration date
12/16/2006
Last updated
08/22/2020
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