Fallon Madeline Theis, DDS
NPI #1407340524 in Litchfield, Minnesota
Provider Information
- NPI Number
- 1407340524
- Entity Type
- Individual
- Name
- Fallon Madeline Theis, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 21, 2018
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 623 S SIBLEY AVE
- City
- Litchfield
- State
- Minnesota
- ZIP Code
- 55355-3339
- Phone
- (320) 693-8131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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