Individual
DANA MARIE PORWOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1716 2ND AVE N, SAUK RAPIDS, MN 56379-2756
(320) 654-9999
(320) 240-2319
Mailing address
1716 2ND AVE N, SAUK RAPIDS, MN 56379-2756
(320) 654-9999
(320) 240-2319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12819
MN
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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