Organization
MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
Active
Parent organization
MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER
Other names
Northern Dental Access Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER
Authorized official
ERICA ANNE LUNDBERG MBA (DIRECTOR OF FINANCE AND OPERATIONS)
(218) 444-9147
Entity
Organization
Contact information
Practice address
206 PLEASANT AVE S, PARK RAPIDS, MN 56470-1417
(218) 732-4436
Mailing address
1405 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 444-9147
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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