Organization
TOM L POOLEY
Active
Other names
River Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM L POOLEY DDS (DENTIST OWNER)
(507) 388-3384
Entity
Organization
Contact information
Practice address
124 E WALNUT ST, STE 300, MANKATO, MN 56001
(507) 388-3384
(507) 388-6079
Mailing address
124 E WALNUT ST, STE 300, MANKATO, MN 56001
(507) 388-3384
(507) 388-6079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12049
MN
Other
Enumeration date
09/07/2006
Last updated
07/30/2008
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