Great River Dentistry of Bemidji, Pllc

NPI #1982156147 in Bemidji, Minnesota

Provider Information

NPI Number
1982156147
Entity Type
Organization
Organization Name
Great River Dentistry of Bemidji, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 3, 2016
Last Updated
Nov 3, 2016

Practice Location

Address
3622 MOBERG DR NW
ZIP Code
56601-5644
Phone
(218) 751-4216

Authorized Official

Name
BARET WILLIAMS-FURFARO
Title
OWNER DDS
Phone
(218) 751-4216

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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