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Organization

NORTH SHORE FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CALVIN BRENT HAWORTH D.D.S. (DENTIST)
(218) 728-2144
Entity
Organization

Contact information

Practice address
1932 LONDON RD, DULUTH, MN 55812-2038
(218) 728-2144
(218) 529-1623
Mailing address
1932 LONDON RD, DULUTH, MN 55812-2038
(218) 728-2144
(218) 529-1623

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9070
MN

Other

Enumeration date
05/21/2007
Last updated
01/04/2008
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