Organization
MAIN STREET DENTAL CLINIC OF NEW RICHLAND PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M FLOR DDS (CHIEF FINANCIAL OFFICER)
(507) 583-2141
Entity
Organization
Contact information
Practice address
132 NORTH BROADWAY, NEW RICHLAND, MN 56072
(507) 463-0502
(507) 463-0769
Mailing address
132 NORTH BROADWAY, PO BOX 278, NEW RICHLAND, MN 56072
(507) 463-0502
(507) 463-0769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8069253
MN
Other
Enumeration date
02/15/2006
Last updated
08/22/2020
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