Individual
DR. GERALD DAVID SCOVILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25 MAIN ST S, WINNEBAGO, MN 56098
(507) 893-4811
Mailing address
PO BOX 696, WINNEBAGO, MN 56098
(507) 893-4811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7077
MN
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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