Organization · Type 2 NPI
Avon Dental PLLC
Dental Clinic/Center · Avon, MN
NPI number
1144045840
Active
Practice location
308A Blattner Dr
Avon, MN 56310-8674
Mailing address
24183 69th Ave
St. Augusta, MN 56301-8402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1144045840
Avon Dental PLLC's National Provider Identifier is 1144045840, issued on Nov 18, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Avon, MN. The record was last updated on Nov 18, 2024.