| Theis Family Dental, Pllc | |
|
107 1st Ave Sw Hutchinson MN 55350-2403 | |
| (320) 310-8325 | |
| Not Available |
| Full Name | Theis Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 107 1st Ave Sw, Hutchinson, Minnesota |
| Authorized Official Name and Position | Fallon Theis (OWNER DENTIST) |
| Authorized Official Contact | 3204559345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theis Family Dental, Pllc 107 1st Ave Sw Hutchinson MN 55350-2403 Ph: (320) 310-8325 | Theis Family Dental, Pllc 107 1st Ave Sw Hutchinson MN 55350-2403 Ph: (320) 310-8325 |
| NPI Number | 1366271975 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366271975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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