Organization
GREAT RIVER DENTISTRY OF BEMIDJI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARET WILLIAMS-FURFARO (OWNER DDS)
(218) 751-4216
Entity
Organization
Contact information
Practice address
3622 MOBERG DR NW, BEMIDJI, MN 56601-5644
(218) 751-4216
(218) 444-6057
Mailing address
PO BOX 1005, BEMIDJI, MN 56619-1005
(218) 751-4216
(218) 444-6057
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MN
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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