West Central Dental Resource, INC

NPI #1295888246 in Alexandria, Minnesota

Provider Information

NPI Number: 1295888246
Entity Type: Organization
Organization Name: West Central Dental Resource, INC
Primary Specialty: Dentist
Enumeration Date: Jan 20, 2007
Last Updated: Jan 7, 2009

Practice Location

Address: 700 CEDAR ST STE 44
City: Alexandria
State: Minnesota
ZIP Code: 56308-1787
Phone: (320) 815-5711

Authorized Official

Name: MARY L OLSEN, RDH
Title: COORDINATOR
Phone: (320) 815-5711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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