Red Lake Comprehensive Health Services

NPI #1639466048 in Redlake, Minnesota

Provider Information

NPI Number: 1639466048
Entity Type: Organization
Organization Name: Red Lake Comprehensive Health Services
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 6, 2011
Last Updated: Jul 6, 2011

Practice Location

Address: 24809 HOSPITAL DRIVE
Address 2: HIGHWAY 1
City: Redlake
State: Minnesota
ZIP Code: 56671
Phone: (218) 679-3316

Authorized Official

Name: ORAN D BEAULIEU
Title: TRIBAL HEALTH DIRECTOR
Phone: (218) 679-3316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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