Organization
HANSON AND FONKERT DENTAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOMI JEAN PIRROTTA (OFFICE MANAGER)
(320) 235-2780
Entity
Organization
Contact information
Practice address
1101 SOUTH FIRST STREET, SUITE 3, WILLMAR, MN 56201-3595
(320) 235-2780
(320) 235-8838
Mailing address
1101 SOUTH FIRST STREET, SUITE 3, WILLMAR, MN 56201-3595
(320) 235-2780
(320) 235-8838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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