Jayme Mace Dmd Family Dentistry, PA
Clinic/Center, Dental in Fergus Falls, MN. Organization (NPI-2).
NPI number1194476929
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1194476929
- Entity type
- Organization (NPI-2)
- Legal business name
- Jayme Mace Dmd Family Dentistry, PA
- Organization subpart
- No
- Enumeration date
- Jan 13, 2022
- Certification date
- Jan 13, 2022
- Last updated
- Jan 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Jayme Mace Dmd Family Dentistry, PA (Doing Business As)
Practice location
323 S Cascade StFergus Falls, MN 56537-2803
Phone 218-736-3179 · Fax 218-737-0618
Mailing address
323 S Cascade StFergus Falls, MN 56537-2803
Phone 218-736-3179 · Fax 218-737-0618
Authorized official
Jayme Mace
Dr.
2187363179
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