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Prairie Pines Dental, Pllc
Dental Clinic/Center in Fosston, Minnesota
NPI 1578291803

Prairie Pines Dental, Pllc is a Dental Clinic/Center based in Fosston, MN and is specialized in Dental. Prairie Pines Dental, Pllc practices in Fosston, MN. The NPI Number for Prairie Pines Dental, Pllc is 1578291803 and holds a License No. (Minnesota).

The current practice location address for Prairie Pines Dental, Pllc is 109 Johnson Ave N, Fosston, MN and can be reached out via phone at 320-309-5882.

Location: 109 Johnson Ave N, Fosston, MN, 56542-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578291803
Provider Name
Prairie Pines Dental, Pllc
Credential
Provider Entity Type
Organization
Address
109 Johnson Ave N, Fosston, MN, 56542-1327
Phone Number
320-309-5882
Fax Number
Provider Enumeration Date
08/14/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
109 Johnson Ave N
City
Fosston
State
Minnesota
Zip
56542-1327
Phone Number
320-309-5882
Fax Number
person
Provider Business Mailing Address Details
Address
109 Johnson Ave N
City
Fosston
State
Minnesota
Zip
56542-1327
Phone Number
320-309-5882
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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