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1437978004
WEST RANGE DENTAL PLLC
GRAND RAPIDS, MN
NPI
1437978004
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Entity Type
Organization
Authorized Contact
KYLE DONOVAN HAMMER
Owner President
218-348-4012
Organization Subpart ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-10-09
Last Update Date
2024-10-09
Business Address
WEST RANGE DENTAL PLLC
1043 E US HIGHWAY 169
GRAND RAPIDS, MN 55744-3165
Phone number: 218-326-2560
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Mailing Address
WEST RANGE DENTAL PLLC
9 EASTRIDGE BLVD
DULUTH, MN 55804-3124
Phone number: 218-348-4012
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