Organization
NORTH COUNTRY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE PUTNAM (RECEPTIONIST)
(218) 879-5271
Entity
Organization
Contact information
Practice address
716 14TH ST, CLOQUET, MN 55720-2406
(218) 879-5271
(218) 878-7990
Mailing address
716 14TH ST, CLOQUET, MN 55720-2406
(218) 879-5271
(218) 878-7990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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