Msctc Community Dental Clinic

NPI #1548320112 in Moorhead, Minnesota

Provider Information

NPI Number
1548320112
Entity Type
Organization
Organization Name
Msctc Community Dental Clinic
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Dec 12, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1900 28TH AVE S
ZIP Code
56560-4830
Phone
(218) 299-6819

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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