MANKATO FAMILY DENTAL, P.A.

MANKATO, MN
NPI1912013640
Former Legal Business NameBROAD STREET FAMILY DENTAL
Entity TypeOrganization
Authorized ContactCHRISTOPHER KELLY MEEHAN
Dds/Owner
507-345-4259
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  10009)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MN  12148)
Enumeration Date2006-08-23
Last Update Date2016-05-03
Business Address
MANKATO FAMILY DENTAL, P.A.
151 ST ANDREWS CT STE 1120
MANKATO, MN 56001
Phone number: 507-345-4259
Mailing Address
MANKATO FAMILY DENTAL, P.A.
151 ST ANDREWS CT STE 1120
MANKATO, MN 56001
Phone number: 507-345-4259