Organization
WATERFRONT FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE ELAINE CHRISTIANSEN (OFFICE MANAGER)
(507) 454-1628
Entity
Organization
Contact information
Practice address
50 W 2ND ST, WINONA, MN 55987-3440
(507) 454-1628
(507) 453-7841
Mailing address
50 W 2ND ST, WINONA, MN 55987-3440
(507) 454-1628
(507) 453-7841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10182
MN
Other
Enumeration date
12/07/2006
Last updated
05/20/2008
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