Dental Depot, LLC

NPI #1285022145 in Morris, Minnesota

Provider Information

NPI Number
1285022145
Entity Type
Organization
Organization Name
Dental Depot, LLC
Primary Specialty
Dentist
Enumeration Date
Dec 30, 2014
Last Updated
Dec 30, 2014

Practice Location

Address
2 E 5TH ST
City
Morris
ZIP Code
56267-1344
Phone
(320) 589-4481

Authorized Official

Name
DR. KEVIN P WILLIAMSON, DDS
Title
DENTIST
Phone
(320) 589-4481

Specialties & Taxonomy Codes

Specialty
Dentist

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