| Southern Minnesota Endodontics Llc | |
|
1570 Adams St Mankato MN 56001-5192 | |
| (507) 386-0288 | |
| Not Available |
| Full Name | Southern Minnesota Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1570 Adams St, Mankato, Minnesota |
| Authorized Official Name and Position | Sara Rundle (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5073860288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Minnesota Endodontics Llc 1570 Adams St Mankato MN 56001-5192 Ph: () - | Southern Minnesota Endodontics Llc 1570 Adams St Mankato MN 56001-5192 Ph: (507) 386-0288 |
| NPI Number | 1891308979 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891308979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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