Organization
SOUTHERN MINNESOTA ENDODONTICS LLC
Active
Other names
Southern Minnesota Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SARA RUNDLE (PRACTICE ADMINISTRATOR)
(507) 386-0288
Entity
Organization
Contact information
Practice address
1570 ADAMS ST, MANKATO, MN 56001-5192
(507) 386-0288
Mailing address
1570 ADAMS ST, MANKATO, MN 56001-5192
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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