Organization
SKINNER FAMILY DENTISTRY, PC
Active
Other names
Skinner Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SKINNER DDS (OWNER/PRESIDENT)
(641) 583-3449
Entity
Organization
Contact information
Practice address
201 N BROAD ST STE 204, MANKATO, MN 56001-3569
(507) 345-4752
Mailing address
201 N BROAD ST STE 204, MANKATO, MN 56001-3569
(507) 345-4752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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