3rd Street Dental LLC

NPI #1386335602 in Tracy, Minnesota

Provider Information

NPI Number
1386335602
Entity Type
Organization
Organization Name
3rd Street Dental LLC
Primary Specialty
Dentist
Enumeration Date
May 17, 2023
Last Updated
May 17, 2023

Practice Location

Address
212 3RD ST STE 5
City
Tracy
ZIP Code
56175-1267
Phone
(507) 626-8826

Authorized Official

Name
MELISSA ISRAEL, DDS
Title
DENTIST
Phone
(646) 710-0666

Specialties & Taxonomy Codes

Specialty
Dentist

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