Distinctive Dental Services, PA
NPI #1073780805 in Howard Lake, Minnesota
Provider Information
- NPI Number
- 1073780805
- Entity Type
- Organization
- Organization Name
- Distinctive Dental Services, PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DISTINCTIVE DENTAL SERVICES, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 12, 2008
- Last Updated
- May 12, 2008
Practice Location
- Address
- 612 8TH AVE # 664
- City
- Howard Lake
- State
- Minnesota
- ZIP Code
- 55349-5137
- Phone
- (320) 543-2233
Authorized Official
- Name
- DR. MICHAEL JOHN THOENNES, DDS
- Title
- CEO
- Phone
- (320) 485-4344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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