Organization
FALLS COURT DENTISTS
Active
Parent organization
FALLS COURT DENTISTS
Other names
Main Street Dental of Sauk Centre
Organization subpart
Yes
Provider details
NPI number
Legal business name
FALLS COURT DENTISTS
Authorized official
TAMMY MARIE HINES (OFFICE MGR)
(320) 632-6621
Entity
Organization
Contact information
Practice address
304 MAIN ST, SAUK CENTRE, MN 56378
(320) 352-2822
(320) 351-4577
Mailing address
304 MAIN ST, SAUK CENTRE, MN 56378
(320) 352-2822
(320) 351-4577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9733
MN
Other
Enumeration date
11/17/2014
Last updated
10/30/2015
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