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Organization

BREMSETH FAMILY DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG LLOYD BREMSETH DDS (OWNER)
(651) 388-3535
Entity
Organization

Contact information

Practice address
621 W 4TH ST, RED WING, MN 55066-2413
(651) 388-3535
(651) 388-5152
Mailing address
621 W 4TH ST, RED WING, MN 55066-2413
(651) 388-3535
(651) 388-5152

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10623
MN

Other

Enumeration date
12/17/2009
Last updated
12/17/2009
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