Apollon III Thezine
Dentist, General Practice in Dodge Center, MN. Individual provider (NPI-1).
NPI number1104698240
StatusActive
Last updated in NPPESMar 29, 2024
Details
- NPI
- 1104698240
- Entity type
- Individual (NPI-1)
- Name
- Apollon III Thezine
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Mar 29, 2024
- Last updated
- Mar 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D15010 | MN | Yes |
Practice location
406 W Highway StDodge Center, MN 55927-9063
Phone 507-374-6635 · Fax 507-374-2277
Mailing address
406 W Highway StDodge Center, MN 55927-9063
Phone 507-374-6635 · Fax 507-374-2277
Other practice locations
1812 2nd St Sw
Rochester, MN 55902-4127
Rochester, MN 55902-4127
Phone 507-208-4141
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