Organization
PERRY DENTAL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON A KENNEBECK (OFFICE MANAGER)
(651) 565-2888
Entity
Organization
Contact information
Practice address
1000 HIAWATHA DR E, WABASHA, MN 55981-1733
(651) 565-2888
(651) 565-2882
Mailing address
1000 HIAWATHA DR E, WABASHA, MN 55981-1733
(651) 565-2888
(651) 565-2882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
09963
MN
1223G0001X
General Practice Dentistry
Primary
13557
MN
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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