NPI 1275362329

Her and Man Town Dental PLLC

Organisation Dental Clinic/Center Hermantown, MN

Practice location

Address: 4135 Richard Ave STE 103, Hermantown, MN 55811-2979
Phone: (218) 722-2428
Fax: (218) 722-0142

Authorised official

Name: Tracey Makitalo
Title: Insurance Coordinator
Phone: (218) 722-2428

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1275362329
Entity type: Organization
NPI issued: 29 Jul 2024
Record last updated: 29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.