Organization
COUNTY OF MURRAY
Active
Other names
Shetek Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NARLA N. HULSTEIN (CLINIC MANAGER)
(507) 836-1000
Entity
Organization
Contact information
Practice address
2711 BROADWAY AVE STE 100, SLAYTON, MN 56172-1313
(507) 836-1000
(507) 836-1008
Mailing address
2711 BROADWAY AVE STE 100, SLAYTON, MN 56172-1313
(507) 836-1000
(507) 836-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8027057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791987500
—
MN
Enumeration date
12/14/2006
Last updated
06/16/2008
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