Organization
FIEDLER DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M FIEDLER D.D.S. (OWNER)
(320) 286-2712
Entity
Organization
Contact information
Practice address
115 OLSEN BLVD NE STE 200, COKATO, MN 55321-4797
(320) 286-2712
Mailing address
115 OLSEN BLVD NE STE 200, PO BOX 548, COKATO, MN 55321-4797
(320) 286-2712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12373
MN
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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