East Central Dental Clinic, PA
Organization Active NPI Dental Clinic/Center · Braham, MN
NPI 1871535344 · NPPES record last updated Nov 30, 2014
Key facts
- NPI
- 1871535344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- D9743 (MN)
- Legal business name
- EAST CENTRAL DENTAL CLINIC, PA
- Practice address
- 110 5TH St NW
Braham, MN 55006-3015 - Phone
- (320) 396-4417
- Fax
- (320) 396-4417
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. James A. Radziun, D.D.S.
- Title
- President
- Phone
- (320) 396-4417
Practitioners 1
-
James Allen Radziun, D.D.S.
National Provider Directory
Locations
110 5th St NW
Braham, MN 55006
Phone (320) 396-4417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D9743 | MN | Yes |
Addresses
Primary practice location
110 5TH St NW
Braham, MN 55006-3015
Mailing address
PO Box 170
Braham, MN 55006-0170
Phone (320) 396-4417
Other providers in Braham, MN
- Braham Family Dental
- Robert D Copic
- Destine in-Home Care Services, Inc
- Jody Lyn Dixon
- Andrea Downing
- Five County Mental Health Center
- Lois June Flor
- Dale Conrad Forslin
- Daniel Joseph Halsey
- Ind. School District 314
All providers in Braham, MN · Dental Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.