Organization · Type 2 NPI
Great River Endodontics, PA
Endodontics · Willmar, MN
Practice location
1100 19th Ave SW
Willmar, MN 56201-5006
Fax (320) 259-5078
Mailing address
622 Roosevelt Rd Ste 180
St. Cloud, MN 56301-6361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endodontics Primary | 1223E0200X | 11880 (MN) |
Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
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About NPI 1144583527
Great River Endodontics, PA's National Provider Identifier is 1144583527, issued on Jun 20, 2012. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Willmar, MN. The record was last updated on Jun 20, 2012.