E.t. Mcniece Dds, P.a.

NPI 1043433048 - Dentist - 122300000X

NPI Details
NPI 1043433048
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD THOMAS EDWARD
Position OWNER
Phone (507) 372-7339
Fax (507) 372-7330
Practice Location
1027 2ND AVE
WORTHINGTON MN, 56187-2380, US
Phone (507) 372-7339
Fax (507) 372-7330
Business Location
1027 2ND AVE
WORTHINGTON MN, 56187-2380, US
Phone (507) 372-7339
Fax (507) 372-7330
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 8114
Remove 1043433048 NPI Number
 

According to our database, E.t. Mcniece Dds, P.a. NPI is 1043433048, taxonomy code is 122300000X and license number is 8114, license state is located at Minnesota. E.t. Mcniece Dds, P.a. physically located at 1027 2nd Ave, Worthington MN, 56187-2380. NPI Number 1033115704 has the healthcare provider type.

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1043433048 NPI number is provided on an as is basis without warranty of any kind. 1043433048 is maintained by the National Plan & Provider Enumeration System. The contents of E.t. Mcniece Dds, P.a. are for informational purposes only.