Virginia/gilbert Family Dental

NPI #1790012847 in Gilbert, Minnesota

Provider Information

NPI Number
1790012847
Entity Type
Organization
Organization Name
Virginia/gilbert Family Dental
Subpart
Yes (part of a larger organization)
Parent Organization
VIRGINIA/GILBERT FAMILY DENTAL
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 11, 2009
Last Updated
Nov 11, 2009

Practice Location

Address
12 NORTH BROADWAY
ZIP Code
55741
Phone
(218) 741-5357

Authorized Official

Name
DR. MARK A. ERICKSON, DDS
Title
PRESIDENT
Phone
(218) 741-5357

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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