Organization
SPRING VALLEY DENTAL
Active
Other names
Preston Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
317 SAINT PAUL ST SW, PRESTON, MN 55965-1097
(507) 765-3634
(507) 765-3645
Mailing address
317 SAINT PAUL ST SW, PRESTON, MN 55965-1097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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