Falls Court Dentists Pa

NPI 1124096011 - Clinic/Center - 261QD0000X

NPI Details
NPI 1124096011
Enumeration Date 03/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LYLE MARK LYLE
Position OWNER CORP VICE PRESIDENT
Phone (320) 632-6621
Fax (320) 632-1829
Practice Location
119 NE FIRST STREET
STE 4
LITTLE FALLS MN, 56345, US
Phone (320) 632-6621
Fax (320) 632-1829
Business Location
119 NE FIRST STREET
STE 4
LITTLE FALLS MN, 56345, US
Phone (320) 632-6621
Fax (320) 632-1829
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
Remove 1124096011 NPI Number
 

According to our database, Falls Court Dentists Pa NPI is 1124096011, taxonomy code is 261QD0000X Falls Court Dentists Pa physically located at 119 Ne First Street, Little Falls MN, 56345. NPI Number 1033115704 has the healthcare provider type.

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1124096011 NPI number is provided on an as is basis without warranty of any kind. 1124096011 is maintained by the National Plan & Provider Enumeration System. The contents of Falls Court Dentists Pa are for informational purposes only.