12th Street Dental Office Pa

NPI 1043374176 - Dentist - 122300000X

NPI Details
NPI 1043374176
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH GERARD JOSEPH
Position OWNER PARTNER DENTIST
Phone (507) 282-6448
Fax (507) 287-8846
Practice Location
1008 12TH STREET SE
ROCHESTER MN, 55904-5030, US
Phone (507) 282-6448
Fax (507) 287-8846
Business Location
1008 12TH STREET SE
ROCHESTER MN, 55904-5030, US
Phone (507) 282-6448
Fax (507) 287-8846
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number MN9567
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According to our database, 12th Street Dental Office Pa NPI is 1043374176, taxonomy code is 122300000X and license number is MN9567, license state is located at Minnesota. 12th Street Dental Office Pa physically located at 1008 12th Street Se, Rochester MN, 55904-5030. NPI Number 1033115704 has the healthcare provider type.

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1043374176 NPI number is provided on an as is basis without warranty of any kind. 1043374176 is maintained by the National Plan & Provider Enumeration System. The contents of 12th Street Dental Office Pa are for informational purposes only.