Downtown Dental Care PA
NPI #1073674529 in Moose Lake, Minnesota
Provider Information
- NPI Number
- 1073674529
- Entity Type
- Organization
- Organization Name
- Downtown Dental Care PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 304 ELM AVE
- City
- Moose Lake
- State
- Minnesota
- ZIP Code
- 55767
- Phone
- (218) 485-4455
Authorized Official
- Name
- DR. KURT DAVID STODOLA, DDS
- Title
- DOCTOR VICE PRESIDENT
- Phone
- (218) 485-4455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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