Southern Minnesota Endodontics LLC

NPI #1891308979 in Mankato, Minnesota

Provider Information

NPI Number: 1891308979
Entity Type: Organization
Organization Name: Southern Minnesota Endodontics LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Aug 28, 2020
Last Updated: Aug 28, 2020

Practice Location

Address: 1570 ADAMS ST
City: Mankato
State: Minnesota
ZIP Code: 56001-5192
Phone: (507) 386-0288

Authorized Official

Name: SARA RUNDLE
Title: PRACTICE ADMINISTRATOR
Phone: (507) 386-0288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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