Organization
HOUSTON DENTAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ROBERT EVENSON D.D.S. (DENTIST)
(507) 896-2202
Entity
Organization
Contact information
Practice address
109 E MAPLE ST, HOUSTON, MN 55943-8449
(507) 896-2202
Mailing address
109 E MAPLE ST, HOUSTON, MN 55943-8449
(507) 896-2202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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