Organization · Type 2 NPI
Chisholm Dental Service PA
Dental Clinic/Center · Chisholm, MN
NPI number
1396807012
Active
Practice location
217 1st St NW
Chisholm, MN 55719-1701
Fax (218) 254-4531
Mailing address
PO Box 632
Chisholm, MN 55719-0632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3613539 (MN) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1396807012
Chisholm Dental Service PA's National Provider Identifier is 1396807012, issued on Dec 16, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chisholm, MN. The record was last updated on Aug 22, 2020.