Houston Dental Clinic, PC

NPI #1790977114 in Houston, Minnesota

Provider Information

NPI Number
1790977114
Entity Type
Organization
Organization Name
Houston Dental Clinic, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 10, 2007
Last Updated
Aug 10, 2007

Practice Location

Address
109 E MAPLE ST
ZIP Code
55943-8449
Phone
(507) 896-2202

Authorized Official

Name
DR. RONALD ROBERT EVENSON, D.D.S.
Title
DENTIST
Phone
(507) 896-2202

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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