Organization
SCOTLAND BAKKE DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONETTA BAKKE (DENTIST)
(218) 751-8325
Entity
Organization
Contact information
Practice address
430 25TH ST NW, BEMIDJI, MN 56601-2486
(218) 751-8325
Mailing address
PO BOX 1327, BEMIDJI, MN 56619-1327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12524
MN
1223G0001X
General Practice Dentistry
D8207
MN
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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