Lone Oak Family Dentistry

NPI #1447583778 in Warren, Minnesota

Provider Information

NPI Number
1447583778
Entity Type
Organization
Organization Name
Lone Oak Family Dentistry
Subpart
Yes (part of a larger organization)
Parent Organization
KITTSON DENTAL CLINIC, PA
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Sep 18, 2009
Last Updated
Sep 18, 2009

Practice Location

Address
205 W JOHNSON AVE
Address 2
SUITE 3
City
Warren
ZIP Code
56762-1118
Phone
(218) 745-4601

Authorized Official

Name
TRAVIS HANEL, DDS
Title
OWNER
Phone
(218) 745-4601

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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