NORTH MAIN FAMILY DENTISTRY LLC

BROOKINGS, SD
NPI1053050336
Entity TypeOrganization
Authorized ContactJEANNE MYERS
Credentialing Coordinator
605-884-9341
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2022-06-03
Last Update Date2022-06-03
Business Address
NORTH MAIN FAMILY DENTISTRY LLC
717 MAIN AVE
BROOKINGS, SD 57006-1426
Phone number: 605-692-4715
Mailing Address
NORTH MAIN FAMILY DENTISTRY LLC
2810 RIVERIDGE LN
GREEN BAY, WI 54313-9535
Phone number: 920-530-0022