Lone Oak Family Dentistry

NPI #1053739698 in Warren, Minnesota

Provider Information

NPI Number
1053739698
Entity Type
Organization
Organization Name
Lone Oak Family Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 1, 2014
Last Updated
Apr 1, 2014

Practice Location

Address
205 W JOHNSON AVE
Address 2
STE. 3
City
Warren
ZIP Code
56762-1118
Phone
(218) 745-4601

Authorized Official

Name
DR. TRAVIS AMMEN HANEL
Title
DENTIST
Phone
(218) 745-4601

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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