Organization
SOUTHERN MINNESOTA COMMUNITY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD FISCHER DDS (OWNER/DENTIST)
(507) 835-3040
Entity
Organization
Contact information
Practice address
1501 NORTH STATE STREET, WASECA, MN 56093
(507) 835-3040
Mailing address
1501 NORTH STATE STREET, WASECA, MN 56093
(507) 835-3040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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