Organization
NEW PRAGUE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN J. GARRY D.D.S. (OWNER)
(952) 758-4741
Entity
Organization
Contact information
Practice address
101 LEXINGTON AVE S., NEW PRAGUE, MN 56071
(952) 758-4741
(952) 758-4740
Mailing address
101 LEXINGTON AVE S., NEW PRAGUE, MN 56071
(952) 758-4741
(952) 758-4740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10825
MN
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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