Organization
THEIS FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON THEIS DDS (OWNER DENTIST)
(320) 455-9345
Entity
Organization
Contact information
Practice address
107 1ST AVE SW, HUTCHINSON, MN 55350-2403
(320) 310-8325
Mailing address
107 1ST AVE SW, HUTCHINSON, MN 55350-2403
(320) 310-8325
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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