Organization
STRAIGHT RIVER FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISA BOLLINGER (MARKETING MANAGER)
(507) 451-3090
Entity
Organization
Contact information
Practice address
170 LANDMARK DR NE STE A, OWATONNA, MN 55060-1590
(507) 451-3090
(507) 451-4587
Mailing address
170 LANDMARK DR NE STE A, OWATONNA, MN 55060-1590
(507) 451-3090
(507) 451-4587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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