Organization
PERRY DENTAL, LTD
Active
Parent organization
PERRY DENTAL, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERRY DENTAL, LTD
Authorized official
MR. JOSEPH THOMAS LINE D.D.S. (DENTIST)
(507) 585-5200
Entity
Organization
Contact information
Practice address
515 JEFFERSON AVE S.W., EYOTA, MN 55934
(507) 585-5200
(507) 585-5202
Mailing address
515 JEFFERSON AVE S.W., EYOTA, MN 55934
(507) 585-5200
(507) 585-5202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12826
MN
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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