| Waterfront Family Dentistry Pa | |
|
50 W 2nd St Winona MN 55987-3440 | |
| (507) 454-1628 | |
| (507) 453-7841 |
| Full Name | Waterfront Family Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 50 W 2nd St, Winona, Minnesota |
| Authorized Official Name and Position | Jane Elaine Christiansen (OFFICE MANAGER) |
| Authorized Official Contact | 5074541628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterfront Family Dentistry Pa 50 W 2nd St Winona MN 55987-3440 Ph: (507) 454-1628 | Waterfront Family Dentistry Pa 50 W 2nd St Winona MN 55987-3440 Ph: (507) 454-1628 |
| NPI Number | 1700945672 |
|---|---|
| Provider Enumeration Date | 12/07/2006 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700945672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10182 (Minnesota) | Primary |
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