Organization
WEST CENTRAL DENTAL RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SR. PATRICE KIEFER OSS (BOARD MEMBER)
(320) 762-6022
Entity
Organization
Contact information
Practice address
700 CEDAR ST, SUITE 44, ALEXANDRIA, MN 56308-1769
(320) 762-6022
Mailing address
700 CEDAR ST, SUITE 44, ALEXANDRIA, MN 56308-1769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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