Organization
SOUTHWEST PROFESSIONAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN RENAE PLATT OFFICE MANAGER (OFFICE MANAGER)
(320) 235-7742
Entity
Organization
Contact information
Practice address
509 16TH AVE SW, WILLMAR, MN 56201-4118
(320) 235-7742
(320) 235-4045
Mailing address
509 16TH AVE SW, WILLMAR, MN 56201-4118
(320) 235-7742
(320) 235-4045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
01/23/2007
Last updated
08/21/2008
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