| Avon Dental Clinic Pa | |
|
308a Blattner Drive Avon MN 56310 | |
| (320) 356-7374 | |
| (320) 356-9427 |
| Full Name | Avon Dental Clinic Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 308a Blattner Drive, Avon, Minnesota |
| Authorized Official Name and Position | Cheryl A Kalis (RECEPTIONIST) |
| Authorized Official Contact | 3203567374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Dental Clinic Pa 308a Blattner Drive Avon MN 56310 Ph: (320) 356-7374 | Avon Dental Clinic Pa 308a Blattner Drive Avon MN 56310 Ph: (320) 356-7374 |
| NPI Number | 1922137447 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922137447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10962 (Minnesota) | Primary |