Organization
EAST CENTRAL DENTAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. RADZIUN D.D.S. (PRESIDENT)
(320) 396-4417
Entity
Organization
Contact information
Practice address
110 5TH ST NW, BRAHAM, MN 55006-3015
(320) 396-4417
(320) 396-4417
Mailing address
PO BOX 170, BRAHAM, MN 55006-0170
(320) 396-4417
(320) 396-4417
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9743
MN
Other
Enumeration date
06/11/2006
Last updated
11/30/2014
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