First Avenue Dental, PA
NPI #1205997152 in Little Falls, Minnesota
Provider Information
- NPI Number
- 1205997152
- Entity Type
- Organization
- Organization Name
- First Avenue Dental, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 74 1ST AVE SE
- City
- Little Falls
- State
- Minnesota
- ZIP Code
- 56345-3042
- Phone
- (320) 632-8113
Authorized Official
- Name
- MS. SUZETTE A OLSON, D.D.S.
- Title
- DENTIST
- Phone
- (320) 632-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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