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Organization
MILLS FAMILY DENTISTRY PA
Active
Organization
MILLS FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY LYNN STURDEVANT DDS (OWNER/PRES)
(218) 298-4230
Entity
Organization
Contact information
Practice address
206 WALKER AVE N, NEW YORK MILLS, MN 56567-4004
(218) 385-3130
Mailing address
206 WALKER AVE N, NEW YORK MILLS, MN 56567-4004
(218) 385-3130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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