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Organization

WASECA FAMILY DENTISTRY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GENE WILLIAMS SWAIN JR. D.D.S. (OWNER)
(507) 835-3050
Entity
Organization

Contact information

Practice address
118 STATE ST N, WASECA, MN 56093-2929
(507) 835-3050
(507) 835-9809
Mailing address
118 STATE ST N, WASECA, MN 56093-2929
(507) 835-3050
(507) 835-9809

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10406
MN

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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