Organization
MSCTC COMMUNITY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L BOE DDS,MBA (DIRECTOR DENTAL DEPARTMENT)
(218) 299-6819
Entity
Organization
Contact information
Practice address
1900 28TH AVE S, MOORHEAD, MN 56560-4830
(218) 299-6819
(218) 299-6532
Mailing address
1900 28TH AVENUE SOUTH, MOORHEAD, MN 56560
(218) 299-6819
(218) 299-6532
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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