Prairie Pines Dental, Pllc

NPI #1578291803 in Fosston, Minnesota

Provider Information

NPI Number
1578291803
Entity Type
Organization
Organization Name
Prairie Pines Dental, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 14, 2022
Last Updated
Aug 14, 2022

Practice Location

Address
109 JOHNSON AVE N
ZIP Code
56542-1327
Phone
(320) 309-5882

Authorized Official

Name
DR. KARISSA GOETSCH, DDS
Title
OWNER DENTIST
Phone
(320) 309-5882

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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