Nordstrom, Eric Dale

Nordstrom, Eric Dale is an individual health care provider with primary practice located at 309 Lakeland Drive Se Suite 1, Willmar MN 56201-4099. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nordstrom, Eric Dale can be contacted via phone (320) 235-1075.

Contact Information

Primary practice address
309 Lakeland Drive Se Suite 1 Willmar MN 56201-4099
Phone: (320) 235-1075
Fax: (320) 235-1079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10397 Minnesota

Profile Details

NPI number 1972549145
LBN Legal business name Nordstrom, Eric Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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