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
Authorized Official
- Name
- JON THOMAS ERISKSON
- Title
- PRESIDENT
- Phone
- (507) 238-2812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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