PAYTON LEE PENDERGAST

MANKATO, MN
NPI1265324388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy125J00000X Dental Therapist
(Licence: MN  DT189)
Enumeration Date2025-07-15
Last Update Date2025-10-13
Business Address
PAYTON LEE PENDERGAST DT
309 HOLLY LN
MANKATO, MN 56001-5422
Phone number: 507-388-2120
Mailing Address
PAYTON LEE PENDERGAST DT
309 HOLLY LN
MANKATO, MN 56001-5422
Phone number: 507-514-8309
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