Main Street Dental of Kenyon PA

NPI #1700136116 in Kenyon, Minnesota

Provider Information

NPI Number
1700136116
Entity Type
Organization
Organization Name
Main Street Dental of Kenyon PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 12, 2012
Last Updated
Jun 30, 2019

Practice Location

Address
216 FOREST ST
City
Kenyon
ZIP Code
55946
Phone
(507) 789-6815

Authorized Official

Name
DUY VU, D.D.S
Title
DENTIST
Phone
(651) 235-6604

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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