Organization
AVON DENTAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A KALIS (RECEPTIONIST)
(320) 356-7374
Entity
Organization
Contact information
Practice address
308A BLATTNER DRIVE, AVON, MN 56310
(320) 356-7374
(320) 356-9427
Mailing address
308A BLATTNER DRIVE, AVON, MN 56310
(320) 356-7374
(320) 356-9427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10962
MN
Other
Enumeration date
03/02/2007
Last updated
11/26/2007
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