Organization
CLARISSA DENTAL CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M ROMSTAD DDS (OWNER)
(218) 756-2234
Entity
Organization
Contact information
Practice address
214 MAIN ST W, CLARISSA, MN 56440-4500
(218) 756-2234
(218) 756-2427
Mailing address
214 MAIN ST W, P. O. BOX 416, CLARISSA, MN 56440-4500
(218) 756-2234
(218) 756-2427
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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