Organization
E.T. MCNIECE DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD THOMAS MCNIECE DDS (OWNER)
(507) 372-7339
Entity
Organization
Contact information
Practice address
1027 2ND AVE, WORTHINGTON, MN 56187-2380
(507) 372-7339
(507) 372-7330
Mailing address
1027 2ND AVE, WORTHINGTON, MN 56187-2380
(507) 372-7339
(507) 372-7330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8114
MN
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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