Great River Endodontics, PA

NPI #1144583527 in Willmar, Minnesota

Provider Information

NPI Number: 1144583527
Entity Type: Organization
Organization Name: Great River Endodontics, PA
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 1100 19TH AVE SW
City: Willmar
State: Minnesota
ZIP Code: 56201-5006
Phone: (320) 259-5078

Authorized Official

Name: DR. THOMAS ANDREW KARN, DMD
Title: OWNER/PRESIDENT
Phone: (320) 259-5078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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