Organization
MILLE LACS BAND OF OJIBWE INDIANS
Active
Parent organization
MILLE LACS BAND OF OJIBWE INDIANS
Other names
Ne-Ia-Sing Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Authorized official
NICOLE ANDERSON (COMMISSIONER OF HEALTH & HUMAN SERV)
(320) 532-4163
Entity
Organization
Contact information
Practice address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359
(320) 532-4163
(320) 532-7839
Mailing address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
(320) 532-4163
(320) 532-7839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12310
MN
Other
Enumeration date
02/20/2007
Last updated
10/14/2021
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