Southern Cities Community Clinic

NPI #1730630393 in Faribault, Minnesota

Provider Information

NPI Number: 1730630393
Entity Type: Organization
Organization Name: Southern Cities Community Clinic
Primary Specialty: Dentist
Enumeration Date: Oct 19, 2016
Last Updated: Sep 4, 2019

Practice Location

Address: 400 4TH ST NW
City: Faribault
State: Minnesota
ZIP Code: 55021-5031
Phone: (507) 384-6830

Authorized Official

Name: NANCY KAISER
Title: REIMBURSEMENT SPECIALIST
Phone: (651) 431-3710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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