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Organization
WASECA FAMILY DENTISTRY, PA
Active
Organization
WASECA FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE WILLIAMS SWAIN JR. D.D.S. (OWNER)
(507) 835-3050
Entity
Organization
Contact information
Practice address
118 STATE ST N, WASECA, MN 56093-2929
(507) 835-3050
(507) 835-9809
Mailing address
118 STATE ST N, WASECA, MN 56093-2929
(507) 835-3050
(507) 835-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10406
MN
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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