Organization
ELGIN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULEE ANN KINGSLEY DDS (PRESIDENT)
(507) 876-0127
Entity
Organization
Contact information
Practice address
124 2ND AVE SE, ELGIN, MN 55932-9732
(507) 876-0127
Mailing address
124 2ND AVE SE, P.O. BOX #10, ELGIN, MN 55932-9732
(507) 876-0127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12570
MN
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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