NPI 1447583778

Lone Oak Family Dentistry

Organisation Exclusive Provider Organization Warren, MN

Practice location

Address: 205 W Johnson Ave Suite 3, Warren, MN 56762-1118
Phone: (218) 745-4601

Authorised official

Name: Travis Hanel
Title: Owner
Phone: (218) 745-4601

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence D12024 (MN)

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Registry record

NPI: 1447583778
Entity type: Organization
NPI issued: 18 Sep 2009
Record last updated: 18 Sep 2009

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.