NPI

Bemidji Dental Clinic

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-09-27
Last updated
2020-08-22

Specialties

Licenses

License MN
10693
License MN
D10878
License MN
7899

Location

Practice location
2600 Bemidji Ave N
City
Bemidji MN
Postal code
56601
Phone
(218) 751-4460

Organization contact

Name
GEORGE WELLNER
Title
President
Phone
2187514460

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

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