Individual
JOSEPH BERNARD TAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 MAIN ST, PIERZ, MN 56364-0068
(320) 468-2379
(320) 468-2325
Mailing address
PO BOX 68, PIERZ, MN 56364-0068
(320) 468-2379
(320) 468-2325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8876
MN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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