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Organization

MILLER TRUNK FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUANE FRANKLIN MCDONALD DDS (PRESIDENT)
(218) 729-9810
Entity
Organization

Contact information

Practice address
5086 MILLER TRUNK HWY, HERMANTOWN, MN 55811
(218) 729-9810
(218) 729-9812
Mailing address
5086 MILLER TRUNK HWY, HERMANTOWN, MN 55811
(218) 729-9810
(218) 729-9812

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D11960
MN
1223G0001X
General Practice Dentistry
Primary
D8002
MN

Other

Enumeration date
01/03/2007
Last updated
08/22/2020
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