Organization
RICHARD C AXEL, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CARLYLE AXEL DDS (PRESIDENT)
(763) 479-2922
Entity
Organization
Contact information
Practice address
239 N MEDINA, LORETTO, MN 55357
(763) 479-2922
Mailing address
PO BOX 68, LORETTO, MN 55357-0068
(763) 479-2922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7654
MN
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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