First Avenue Dental Pllc
NPI #1336831445 in Little Falls, Minnesota
Provider Information
- NPI Number
- 1336831445
- Entity Type
- Organization
- Organization Name
- First Avenue Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 25, 2023
- Last Updated
- May 25, 2023
Practice Location
- Address
- 74 1ST AVE SE
- City
- Little Falls
- State
- Minnesota
- ZIP Code
- 56345-3042
- Phone
- (320) 241-6927
Authorized Official
- Name
- DR. ZACHARY STEVEN CONKLIN, DDS
- Title
- OWNER
- Phone
- (320) 241-6927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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