Organization
MONTEVIDEO FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KEVIN ZENK DDS (PRESIDENT MONTEVIDEO FAMILY DENTIST)
(320) 269-6416
Entity
Organization
Contact information
Practice address
629 LEGION DR STE 2, MONTEVIDEO, MN 56265-1729
(320) 269-6416
(320) 269-8136
Mailing address
629 LEGION DR STE 2, MONTEVIDEO, MN 56265-1729
(320) 269-6416
(320) 269-8136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
657524200
—
MN
Enumeration date
10/27/2006
Last updated
09/17/2024
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