Organization
ALBANY FAMILY DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MICHAEL SPYCHALA D.D.S. (OWNER)
(320) 845-2032
Entity
Organization
Contact information
Practice address
421 RAILROAD AVE, ALBANY, MN 56307-9458
(320) 845-2032
Mailing address
421 RAILROAD AVE, P.O. BOX 609, ALBANY, MN 56307-9458
(320) 845-2032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12394
MN
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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