Avon Dental Pllc

NPI #1144045840 in Avon, Minnesota

Provider Information

NPI Number
1144045840
Entity Type
Organization
Organization Name
Avon Dental Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 18, 2024
Last Updated
Nov 18, 2024

Practice Location

Address
308A BLATTNER DR
City
Avon
ZIP Code
56310-8674
Phone
(320) 356-7374

Authorized Official

Name
NICOLETTE THERESE PORTTIIN, DDS
Title
PRESIDENT
Phone
(952) 686-8444

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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