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Organization

PLAINVIEW DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM KELLY D.M.D (OWNER)
(507) 272-0721
Entity
Organization

Contact information

Practice address
338 W BROADWAY, PLAINVIEW, MN 55964-1256
(507) 534-3127
Mailing address
338 W BROADWAY, PLAINVIEW, MN 55964-1256
(507) 534-3127

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/28/2010
Last updated
01/28/2010
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