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Central Minnesota Pediatric Dentists Pa
Pediatric Dentist in Willmar, Minnesota
NPI 1891136321

Central Minnesota Pediatric Dentists Pa is a Pediatric Dentist based in Saint Cloud, MN and is specialized in Pediatric Dentistry. Central Minnesota Pediatric Dentists Pa practices in Willmar, MN. The NPI Number for Central Minnesota Pediatric Dentists Pa is 1891136321 and holds a License No. D7765 (Minnesota).

The current practice location address for Central Minnesota Pediatric Dentists Pa is 1100 19Th Ave Sw, Willmar, MN and can be reached out via phone at 320-253-0272 and via fax at 320-251-2661.

Location: 1100 19Th Ave Sw, Willmar, MN, 56303-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891136321
Provider Name
Central Minnesota Pediatric Dentists Pa
Credential
Provider Entity Type
Organization
Address
1100 19Th Ave Sw, Willmar, MN, 56303-5000
Phone Number
320-253-0272
Fax Number
320-251-2661
Provider Enumeration Date
07/12/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1100 19Th Ave Sw
City
Willmar
State
Minnesota
Zip
56201-5288
Phone Number
320-253-0272
Fax Number
320-251-2661
person
Provider Business Mailing Address Details
Address
1100 19Th Ave Sw
City
Willmar
State
Minnesota
Zip
56201-5288
Phone Number
320-253-0272
Fax Number
320-251-2661
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D7765 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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