| First Avenue Dental, Pa | |
|
74 1st Ave Se Little Falls MN 56345-3042 | |
| (320) 632-8113 | |
| (320) 632-5584 |
| Full Name | First Avenue Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 74 1st Ave Se, Little Falls, Minnesota |
| Authorized Official Name and Position | Suzette A Olson (DENTIST) |
| Authorized Official Contact | 3206328113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Avenue Dental, Pa 74 1st Ave Se Little Falls MN 56345-3042 Ph: (320) 632-8113 | First Avenue Dental, Pa 74 1st Ave Se Little Falls MN 56345-3042 Ph: (320) 632-8113 |
| NPI Number | 1205997152 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205997152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11599 (Minnesota) | Primary |
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