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Organization
MONTEVIDEO FAMILY DENTISTRY PA
Active
Organization
MONTEVIDEO FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KEVIN ZENK DDS (PRESIDENT MONTEVIDEO FAMILY DENTIST)
(320) 269-6416
Entity
Organization
Contact information
Practice address
629 LEGION DR STE 2, MONTEVIDEO, MN 56265-1729
(320) 269-6416
(320) 269-8136
Mailing address
629 LEGION DR STE 2, MONTEVIDEO, MN 56265-1729
(320) 269-6416
(320) 269-8136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
657524200
—
MN
Enumeration date
10/27/2006
Last updated
09/17/2024
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