Clear Creek Dental
NPI #1861634586 in North Branch, Minnesota
Provider Information
- NPI Number
- 1861634586
- Entity Type
- Organization
- Organization Name
- Clear Creek Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 26, 2009
- Last Updated
- Mar 26, 2009
Practice Location
- Address
- 6364 MAIN ST
- City
- North Branch
- State
- Minnesota
- ZIP Code
- 55056-6693
- Phone
- (651) 674-8128
Authorized Official
- Name
- GENIE KUBLE
- Title
- CONTACT OFFICER
- Phone
- (920) 450-0157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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