The Salvation Army Good Samaritan Dental Clinic | |
120 N Broadway Ste B Rochester MN 55906-3728 | |
(507) 529-4100 | |
(507) 529-4101 |
Full Name | The Salvation Army Good Samaritan Dental Clinic |
---|---|
Speciality | Dentist - General Practice |
Location | 120 N Broadway Ste B, Rochester, Minnesota |
Authorized Official Name and Position | Allison Uthke-scaletta (GOVERNMENT GRANTWRITER) |
Authorized Official Contact | 6517463543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Salvation Army Good Samaritan Dental Clinic 20 1st Ave Ne Rochester MN 55906-3706 Ph: (507) 529-4100 | The Salvation Army Good Samaritan Dental Clinic 120 N Broadway Ste B Rochester MN 55906-3728 Ph: (507) 529-4100 |
NPI Number | 1093882656 |
---|---|
Provider Enumeration Date | 11/29/2006 |
Last Update Date | 12/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093882656 | NPI | - | NPPES |
867910000 | Other | MN | PROVIDER IDENTIFICATION # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 867910000 (Minnesota) | Primary |
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› Verified 5 days ago
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