| Perry Dental, Ltd | |
|
515 Jefferson Ave S.w. Eyota MN 55934 | |
| (507) 585-5200 | |
| (507) 585-5202 |
| Full Name | Perry Dental, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 Jefferson Ave S.w., Eyota, Minnesota |
| Authorized Official Name and Position | Joseph Thomas Line (DENTIST) |
| Authorized Official Contact | 5075855200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Dental, Ltd 515 Jefferson Ave S.w. Eyota MN 55934 Ph: (507) 585-5200 | Perry Dental, Ltd 515 Jefferson Ave S.w. Eyota MN 55934 Ph: (507) 585-5200 |
| NPI Number | 1417469198 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417469198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12826 (Minnesota) | Primary |