Her and Man Town Dental Pllc
NPI #1275362329 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1275362329
- Entity Type
- Organization
- Organization Name
- Her and Man Town Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 29, 2024
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 4135 RICHARD AVE STE 103
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811-2979
- Phone
- (218) 722-2428
Authorized Official
- Name
- TRACEY MAKITALO
- Title
- INSURANCE COORDINATOR
- Phone
- (218) 722-2428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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