Organization
MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MARCHEL (SECRETARY, TREASURER)
(218) 333-8119
Entity
Organization
Contact information
Practice address
616 AMERICA AVE NW STE 340, ATTENTION MARY MARCHELL, BEMIDJI, MN 56601-3871
(218) 333-8119
Mailing address
616 AMERICA AVE NW STE 340, ATTENTION MARY MARCHELL, BEMIDJI, MN 56601-3871
(218) 333-8119
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
MN
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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