Gaylord Dental INC

NPI #1811162829 in Gaylord, Minnesota

Provider Information

NPI Number: 1811162829
Entity Type: Organization
Organization Name: Gaylord Dental INC
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: FOURTH STREET
Address 2: 312
City: Gaylord
State: Minnesota
ZIP Code: 55334-0093
Phone: (507) 237-2200

Authorized Official

Name: DR. ANIL K MAHAJAN, DDS
Title: DENTIST
Phone: (507) 237-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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