Organization · Type 2 NPI
Main Street Dental of Kenyon PA
Dental Clinic/Center · Kenyon, MN
NPI number
1700136116
Active
Practice location
216 Forest St
Kenyon, MN 55946
Other practice locations
- 2381 Rice St, Roseville, MN 55113-3715 · (651) 235-6604
- 2381 Rice St, Roseville, MN 55113-3715 · (651) 235-6604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D12683 (MN) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1700136116
Main Street Dental of Kenyon PA's National Provider Identifier is 1700136116, issued on Sep 12, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kenyon, MN. The record was last updated on Jun 30, 2019.