Fergus Falls Dental Group
NPI #1558342469 in Fergus Falls, Minnesota
Provider Information
- NPI Number
- 1558342469
- Entity Type
- Organization
- Organization Name
- Fergus Falls Dental Group
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Nov 8, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1121 PEBBLE LAKE ROAD
- Address 2
- BOX 503
- City
- Fergus Falls
- State
- Minnesota
- ZIP Code
- 56537
- Phone
- (218) 739-7254
Authorized Official
- Name
- MS. DENISE RENEE KVERN
- Title
- MANGER/SUPERVISOR
- Phone
- (218) 739-7254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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