Individual
DR. JACOB LEE BARTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 E BRIDGE ST, REDWOOD FALLS, MN 56283-2607
(763) 746-6567
Mailing address
105 E BRIDGE ST, REDWOOD FALLS, MN 56283-2607
(763) 746-6567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13073
MN
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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