Main Street Dental Clinic of New Richland Pllp
NPI #1316911415 in New Richland, Minnesota
Provider Information
- NPI Number
- 1316911415
- Entity Type
- Organization
- Organization Name
- Main Street Dental Clinic of New Richland Pllp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 132 NORTH BROADWAY
- City
- New Richland
- State
- Minnesota
- ZIP Code
- 56072
- Phone
- (507) 463-0502
Authorized Official
- Name
- JOHN M FLOR, DDS
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (507) 583-2141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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