| Main Street Dental Clinic Of Owatonna Pllp | |
|
159 18th St Sw Owatonna MN 55060-3981 | |
| (507) 455-1000 | |
| (507) 444-9423 |
| Full Name | Main Street Dental Clinic Of Owatonna Pllp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 159 18th St Sw, Owatonna, Minnesota |
| Authorized Official Name and Position | John M Flor (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5075832141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Clinic Of Owatonna Pllp 159 18th St Sw Owatonna MN 55060-3981 Ph: (507) 455-1000 | Main Street Dental Clinic Of Owatonna Pllp 159 18th St Sw Owatonna MN 55060-3981 Ph: (507) 455-1000 |
| NPI Number | 1982677514 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982677514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3958873 (Minnesota) | Primary |
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