Black Bear Family Dental PC

NPI #1609344894 in Bemidji, Minnesota

Provider Information

NPI Number
1609344894
Entity Type
Organization
Organization Name
Black Bear Family Dental PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 6, 2018
Last Updated
Nov 6, 2018

Practice Location

Address
1628 30TH ST NW
ZIP Code
56601-4690
Phone
(218) 444-2004

Authorized Official

Name
DR. VERONICA COOPER, DDS
Title
PRESIDENT
Phone
(218) 444-2004

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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