Organization
PAYNESVILLE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS MCGREW (GENERAL DENTIST)
(320) 243-7209
Entity
Organization
Contact information
Practice address
204 W JAMES ST, PAYNESVILLE, MN 56362-1219
(320) 243-7209
Mailing address
204 W JAMES ST, PAYNESVILLE, MN 56362-1219
(320) 243-7209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12231
MN
122300000X
Dentist
12437
MN
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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