Fosston Family Dental Inc.

NPI #1760635593 in Fosston, Minnesota

Provider Information

NPI Number: 1760635593
Entity Type: Organization
Organization Name: Fosston Family Dental Inc.
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2008
Last Updated: Oct 24, 2008

Practice Location

Address: 201 HILLESTAD AVE N
City: Fosston
State: Minnesota
ZIP Code: 56542-1339
Phone: (218) 435-1717

Authorized Official

Name: KURT ALBRIGHT, DDS
Title: CEO
Phone: (218) 435-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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