| 3rd Street Dental Llc | |
|
212 3rd St Ste 5 Tracy MN 56175-1267 | |
| (507) 626-8826 | |
| Not Available |
| Full Name | 3rd Street Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 212 3rd St Ste 5, Tracy, Minnesota |
| Authorized Official Name and Position | Melissa Israel (DENTIST) |
| Authorized Official Contact | 6467100666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3rd Street Dental Llc 3rd Street Dental Llc Po Box 1153 Tracy MN 56175 Ph: (646) 710-0666 | 3rd Street Dental Llc 212 3rd St Ste 5 Tracy MN 56175-1267 Ph: (507) 626-8826 |
| NPI Number | 1386335602 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386335602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Prairie Lakes Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 3rd St, Tracy, MN 56175 Phone: 507-212-0002 Fax: 507-212-0020 |