Chisholm Dental Service PA

NPI #1396807012 in Chisholm, Minnesota

Provider Information

NPI Number
1396807012
Entity Type
Organization
Organization Name
Chisholm Dental Service PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 16, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
217 1ST ST NW
ZIP Code
55719-1701
Phone
(218) 254-3311

Authorized Official

Name
DR. HAROLD GOODMAN SWENNES III, DDS
Title
DENTIST
Phone
(218) 254-3311

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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