Organization
GAYLORD DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL K MAHAJAN DDS (DENTIST)
(507) 237-2200
Entity
Organization
Contact information
Practice address
FOURTH STREET, 312, GAYLORD, MN 55334-0093
(507) 237-2200
Mailing address
PO BOX 93, GAYLORD, MN 55334-0093
(507) 237-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11931
MN
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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