North Country Dental Service

NPI #1225204704 in Bemidji, Minnesota

Provider Information

NPI Number: 1225204704
Entity Type: Organization
Organization Name: North Country Dental Service
Primary Specialty: Dentist
Enumeration Date: May 5, 2008
Last Updated: Aug 17, 2009

Practice Location

Address: 1311 BEMIDJI AVE N
City: Bemidji
State: Minnesota
ZIP Code: 56601-3811
Phone: (218) 751-1111

Authorized Official

Name: DR. JOHN E. LUETH, D.D.S.
Title: DENTIST
Phone: (218) 751-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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