Organization
PERHAM FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY STURDEVANT DDS (OWNER)
(218) 346-7186
Entity
Organization
Contact information
Practice address
918 MARKET ST, PERHAM, MN 56573-2118
(218) 346-7186
Mailing address
918 MARKET ST, PERHAM, MN 56573-2118
(218) 346-7186
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12405
MN
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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