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1609344894
BLACK BEAR FAMILY DENTAL PC
BEMIDJI, MN
NPI
1609344894
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Entity Type
Organization
Authorized Contact
VERONICA COOPER
President
218-444-2004
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
BLACK BEAR FAMILY DENTAL PC
1628 30TH ST NW
BEMIDJI, MN 56601-4690
Phone number: 218-444-2004
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Mailing Address
BLACK BEAR FAMILY DENTAL PC
1628 30TH ST NW
BEMIDJI, MN 56601-4690
Phone number: 218-444-2004
Copy
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