Organization
LONSDALE FAMILY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROSS HINER DDS (CO-OWNER)
(507) 744-2359
Entity
Organization
Contact information
Practice address
414 RAILWAY ST NW, LONSDALE, MN 55046-9661
(507) 744-2359
Mailing address
414 RAILWAY ST NW, PO BOX 110, LONSDALE, MN 55046-9661
(507) 744-2359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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