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Mississippi Headwaters Area Dental Health Center, Inc.
Dental Clinic/Center in Bagley, Minnesota
NPI 1225811102

Mississippi Headwaters Area Dental Health Center, Inc. is a Dental Clinic/Center based in Bemidji, MN and is specialized in Dental. Mississippi Headwaters Area Dental Health Center, Inc. practices in Bagley, MN. The NPI Number for Mississippi Headwaters Area Dental Health Center, Inc. is 1225811102 and holds a License No. (Minnesota).

The current practice location address for Mississippi Headwaters Area Dental Health Center, Inc. is 13 Main Ave N, Bagley, MN and can be reached out via phone at 218-694-6571.

Location: 13 Main Ave N, Bagley, MN, 56601-5113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225811102
Provider Name
Mississippi Headwaters Area Dental Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
13 Main Ave N, Bagley, MN, 56601-5113
Phone Number
218-694-6571
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13 Main Ave N
City
Bagley
State
Minnesota
Zip
56621-8315
Phone Number
218-694-6571
Fax Number
person
Provider Business Mailing Address Details
Address
13 Main Ave N
City
Bagley
State
Minnesota
Zip
56621-8315
Phone Number
218-694-6571
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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