Organization
WESTFIELD DENTAL SLEEP MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK FIEDLER (OWNER)
(320) 848-2611
Entity
Organization
Contact information
Practice address
149 MAIN STREET SOUTH, HECTOR, MN 55342-0547
(320) 848-2611
(320) 848-2610
Mailing address
PO BOX 547, HECTOR, MN 55342-0547
(320) 848-2611
(320) 848-2610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12373
MN
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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