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Organization
WASECA DENTAL CARE, P.L.L.C.
Active
Organization
WASECA DENTAL CARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY K O'NEIL (OFFICE MANAGER)
(507) 835-1080
Entity
Organization
Contact information
Practice address
1504 4TH ST NE, WASECA, MN 56093-2721
(507) 835-1080
Mailing address
PO BOX 466, WASECA, MN 56093-0466
(507) 835-1080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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