Individual
PHILIP GEORGE MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 PEBBLE LAKE RD, FERGUS FALLS, MN 56537-3807
(218) 739-7254
(218) 739-7253
Mailing address
1121 PEBBLE LAKE RD, FERGUS FALLS, MN 56537-3807
(218) 739-7254
(218) 739-7253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8840
MN
Other
Enumeration date
03/21/2007
Last updated
01/09/2018
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