Main Street Dental Clinic of Mankato, PLLP
Main Street Dental Clinic of Mankato, PLLP is a Dentist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.
- Licensed in
- MN
- In the registry since
- 2014
Practice location Address checks out
287 St Andrews Drive 100Mankato, MN 56001
Phone: (507) 720-0250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12942 (MN) |
|---|
Record details
| NPI number | 1285032243 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chad Hanson — Cfo · (507) 583-2141 |
| NPI enumerated | December 8, 2014 |
| Last updated in NPPES | December 8, 2014 |
| Mailing address | 287 St Andrews Drive, 100, Mankato, MN 56001-8584 |
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