Oak Park Dental - Pine City LLC

NPI #1225762255 in Pine City, Minnesota

Provider Information

NPI Number: 1225762255
Entity Type: Organization
Organization Name: Oak Park Dental - Pine City LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 14, 2022
Last Updated: Jul 14, 2022

Practice Location

Address: 505 JOHNSON AVE SE
City: Pine City
State: Minnesota
ZIP Code: 55063-2108
Phone: (320) 629-2282

Authorized Official

Name: GENIE KUBLE
Title: ACCESS MANAGER
Phone: (920) 450-0157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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