# NEW PRAGUE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811143936
- **Authorized official:** MS. KATHLEEN J. GARRY D.D.S. (OWNER)
- **Authorized official phone:** (952) 758-4741

## Contact information

- **Practice address:** 101 LEXINGTON AVE S., NEW PRAGUE, MN 56071
- **Practice address phone:** (952) 758-4741
- **Practice address fax:** (952) 758-4740
- **Mailing address:** 101 LEXINGTON AVE S., NEW PRAGUE, MN 56071
- **Mailing address phone:** (952) 758-4741
- **Mailing address fax:** (952) 758-4740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D10825 | MN | Yes |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 08/08/2008