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Implant And Periodontal Professionals

Dentist, Periodontics in Rochester, MN. Organization (NPI-2).

NPI number1306236708
StatusActive
Last updated in NPPESJan 8, 2016

Details

NPI
1306236708
Entity type
Organization (NPI-2)
Legal business name
Implant And Periodontal Professionals
Organization subpart
No
Enumeration date
Jan 23, 2015
Last updated
Jan 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, PeriodonticsD12773MNYes

Practice location

3142 Wellner Dr Ne
Rochester, MN 55906-8388

Phone 507-206-6452 · Fax 507-206-6186

Mailing address

3142 Wellner Dr Ne
Rochester, MN 55906-8388

Phone 507-206-6452 · Fax 507-206-6186

Authorized official

Emily Schmalz Kelly
Periodontitist
6512613644

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Other Periodontics providers in Rochester, MN

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