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JOSEPH BERNARD TAX D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1578695490
Individual Registrant: JOSEPH BERNARD TAX D.D.S.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
112 MAIN ST PIERZ, MN 56364-0068 US
Tel: 320-468-2379 Fax: 320-468-2325
Tel: 320-468-2379 Fax: 320-468-2325
Contact information for business:
PO BOX 68 PIERZ, MN 56364-0068 US
Tel: 320-468-2379 Fax: 320-468-2325
Tel: 320-468-2379 Fax: 320-468-2325
Registration Information:
NPI: 1578695490
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | MN | 8876 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
