Organization
MAIN STREET DENTAL CLINIC OF OWATONNA PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M FLOR DDS (CHIEF FINANCIAL OFFICER)
(507) 583-2141
Entity
Organization
Contact information
Practice address
159 18TH ST SW, OWATONNA, MN 55060-3981
(507) 455-1000
(507) 444-9423
Mailing address
159 18TH ST SW, OWATONNA, MN 55060-3981
(507) 455-1000
(507) 444-9423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3958873
MN
Other
Enumeration date
02/13/2006
Last updated
08/22/2020
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