Great River Endodontics, PA
Great River Endodontics, PA is an Endodontics in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.
- Licensed in
- MN
- In the registry since
- 2012
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1100 19th Ave SWWillmar, MN 56201-5006
Phone: (320) 259-5078
Fax: (320) 259-5078
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endodontics (primary) | Taxonomy 1223E0200X · Licence 11880 (MN) |
|---|
Record details
| NPI number | 1144583527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Karn — Owner/President · (320) 259-5078 |
| NPI enumerated | June 20, 2012 |
| Last updated in NPPES | June 20, 2012 |
| Mailing address | 622 Roosevelt Rd Ste 180, Saint Cloud, MN 56301-6361 |