Organization
MAIN STREET DENTAL OF KENYON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUY VU D.D.S (DENTIST)
(651) 235-6604
Entity
Organization
Contact information
Practice address
216 FOREST ST, KENYON, MN 55946
(507) 789-6815
Mailing address
216 FOREST ST, KENYON, MN 55946-1151
(507) 789-6815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12683
MN
Other
Enumeration date
09/12/2012
Last updated
06/30/2019
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