Thief River Falls Family Dentistry

NPI #1811255870 in Thief River Falls, Minnesota

Provider Information

NPI Number: 1811255870
Entity Type: Organization
Organization Name: Thief River Falls Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Apr 27, 2012
Last Updated: Apr 27, 2012

Practice Location

Address: 310 RED LAKE BLVD
City: Thief River Falls
State: Minnesota
ZIP Code: 56701-2133
Phone: (218) 681-2545

Authorized Official

Name: DR. MICHAEL DALE EICKMAN, DDS
Title: PRESIDENT
Phone: (218) 681-2545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Cole Daniel Johnson, DDS	Dentist	Thief River Falls	AI Deep Dive
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