Southern Minnesota Endodontics Llc | |
1570 Adams St Mankato MN 56001-5192 | |
(507) 386-0288 | |
Not Available |
Full Name | Southern Minnesota Endodontics Llc |
---|---|
Speciality | Dentist - Endodontics |
Location | 1570 Adams St, Mankato, Minnesota |
Authorized Official Name and Position | Sara Rundle (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 5073860288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Minnesota Endodontics Llc 1570 Adams St Mankato MN 56001-5192 Ph: () - | Southern Minnesota Endodontics Llc 1570 Adams St Mankato MN 56001-5192 Ph: (507) 386-0288 |
NPI Number | 1891308979 |
---|---|
Provider Enumeration Date | 08/28/2020 |
Last Update Date | 08/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891308979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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