Kathleen M Moen, DDS | |
300 Avon Ave S, Suite F, Avon, MN 56310-8516 | |
(320) 356-7374 | |
(320) 356-9427 |
Full Name | Kathleen M Moen |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 300 Avon Ave S, Avon, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891785226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 10962 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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Kathleen M Moen, DDS Po Box 181, Avon, MN 56310-0181 Ph: (320) 356-7374 | Kathleen M Moen, DDS 300 Avon Ave S, Suite F, Avon, MN 56310-8516 Ph: (320) 356-7374 |
Dr. Alyssa Lynn Gullickson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 308 Blattner Dr, Suite A, Avon, MN 56310 Phone: 320-356-7374 Fax: 320-356-9427 | |
Nicolette Therese Porttiin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 Blattner Dr # A, Avon, MN 56310 Phone: 320-356-7374 |