Dipaul Dental, PC

NPI #1508252578 in Bemidji, Minnesota

Provider Information

NPI Number
1508252578
Entity Type
Organization
Organization Name
Dipaul Dental, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 7, 2015
Last Updated
Apr 7, 2015

Practice Location

Address
2219 PAUL BUNYAN DR NW STE 6-7
ZIP Code
56601-6188
Phone
(218) 751-2659

Authorized Official

Name
KIM VAN CAMP
Title
PROVIDER ENROLLMENT SPECIALIST
Phone
(315) 454-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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