Perry Dental, Ltd | |
515 Jefferson Ave S.w. Eyota MN 55934 | |
(507) 585-5200 | |
(507) 585-5202 |
Full Name | Perry Dental, Ltd |
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Speciality | Dentist - General Practice |
Location | 515 Jefferson Ave S.w., Eyota, Minnesota |
Authorized Official Name and Position | Joseph Thomas Line (DENTIST) |
Authorized Official Contact | 5075855200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Perry Dental, Ltd 515 Jefferson Ave S.w. Eyota MN 55934 Ph: (507) 585-5200 | Perry Dental, Ltd 515 Jefferson Ave S.w. Eyota MN 55934 Ph: (507) 585-5200 |
NPI Number | 1417469198 |
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Provider Enumeration Date | 11/02/2017 |
Last Update Date | 11/02/2017 |
Identifier | Type | State | Issuer |
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1417469198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D12826 (Minnesota) | Primary |