Organization
VIRGINIA-GILBERT FAMILY DENTAL P.A
Active
Parent organization
VIRGINIA-GILBERT FAMILY DENTAL P.A.
Other names
Erickson Holbeck Dental / Gilbert Dental Service P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA-GILBERT FAMILY DENTAL P.A.
Authorized official
DR. JOHN T. ZUPANCIC D.D.S. (SECRETARY - DENTIST)
(218) 741-0405
Entity
Organization
Contact information
Practice address
612-13TH. ST. SO., VIRGINIA, MN 55792
(218) 741-0405
(218) 741-1445
Mailing address
612-13TH. ST. SO., VIRGINIA, MN 55792
(218) 741-0405
(218) 741-1445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
12/04/2009
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