Organization
T.J. SCHOEN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH SCHOEN DDS (OWNER)
(651) 565-4647
Entity
Organization
Contact information
Practice address
257 MAIN ST W, WABASHA, MN 55981-1913
(651) 565-4647
Mailing address
PO BOX 128, WABASHA, MN 55981-0128
(651) 565-4647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9378
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772320200
—
MN
Enumeration date
12/10/2012
Last updated
12/01/2014
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