Organization
REITER DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD REITER DMD (VICE PRESIDENT)
(507) 235-6254
Entity
Organization
Contact information
Practice address
717 SOUTH STATE STREET, SUITE 500, FAIRMONT, MN 56031-4474
(507) 235-6254
Mailing address
717 SOUTH STATE STREET, SUITE 500, FAIRMONT, MN 56031-4474
(507) 235-6254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10457
MN
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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