Mississippi Headwaters Area Dental Health Center, Inc.

NPI #1457101974 in Park Rapids, Minnesota

Provider Information

NPI Number
1457101974
Entity Type
Organization
Organization Name
Mississippi Headwaters Area Dental Health Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Mar 26, 2024
Last Updated
Mar 26, 2024

Practice Location

Address
206 PLEASANT AVE S
ZIP Code
56470-1417
Phone
(218) 732-4436

Authorized Official

Name
ERICA ANNE LUNDBERG, MBA
Title
DIRECTOR OF FINANCE AND OPERATIONS
Phone
(218) 444-9147

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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