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Prairie Dental Centers Pa

Prairie Dental Centers Pa is a health care provider in Ada, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 200 E Main St, Ada, MN 56510, US
Practice Location Phone218-784-7119
Practice Location Fax218-784-2381
Legal Business NamePRAIRIE DENTAL CENTERS PA
NPI ?1447310636
Entity TypeOrganization
Enumeration Date ? Dec 11, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Prairie Dental Centers Pa

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice 10681Minnesota
DentistGeneral Practice 10680Minnesota

official-icon Authorized Official of Prairie Dental Centers Pa

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Prairie Dental Centers Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official David Resnick (DDS)
Authorized Official Title/PositionCFO
Authorized Official Phone Number218-784-7119