Minnesota State Community and Technical College - Dental

NPI #1518027754 in Moorhead, Minnesota

Provider Information

NPI Number
1518027754
Entity Type
Organization
Organization Name
Minnesota State Community and Technical College - Dental
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Dec 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1900 28TH AVE S
ZIP Code
56560-4830
Phone
(218) 299-6560

Authorized Official

Name
DR. THOMAS L BOE, DDS, MBA
Title
DIRECTOR DENTAL DEPARTMEN
Phone
(218) 299-6819

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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