Organization
FERGUS FALLS DENTAL GROUP
Active
Other names
DEPARTMENT OF HUMAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE RENEE KVERN (MANGER/SUPERVISOR)
(218) 739-7254
Entity
Organization
Contact information
Practice address
1121 PEBBLE LAKE ROAD, BOX 503, FERGUS FALLS, MN 56537
(218) 739-7254
(218) 739-7253
Mailing address
1121 PEBBLE LAKE ROAD, PO BOX 503, FERGUS FALLS, MN 56537
(218) 739-7254
(218) 739-7253
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
9845
MN
Other
Enumeration date
11/08/2005
Last updated
08/22/2020
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