Fairmont Family Dentistry, PA

NPI #1356515969 in Fairmont, Minnesota

Provider Information

NPI Number
1356515969
Entity Type
Organization
Organization Name
Fairmont Family Dentistry, PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 15, 2008
Last Updated
Apr 15, 2008

Practice Location

Address
202 N PARK ST
ZIP Code
56031-2824
Phone
(507) 238-2818

Authorized Official

Name
JON THOMAS ERISKSON
Title
PRESIDENT
Phone
(507) 238-2812

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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