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Travis Prunty Dds Pllc
Dental Clinic/Center in Mankato, Minnesota
NPI 1235395476

Travis Prunty Dds Pllc is a Dental Clinic/Center based in Mankato, MN and is specialized in Dental. Travis Prunty Dds Pllc practices in Mankato, MN. The NPI Number for Travis Prunty Dds Pllc is 1235395476 and holds a License No. D12552 (Minnesota).

The current practice location address for Travis Prunty Dds Pllc is 730 E Madison Ave, Mankato, MN and can be reached out via phone at 507-388-3023 and via fax at 507-388-3353.

Location: 730 E Madison Ave, Mankato, MN, 56002-0894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235395476
Provider Name
Travis Prunty Dds Pllc
Credential
Provider Entity Type
Organization
Address
730 E Madison Ave, Mankato, MN, 56002-0894
Phone Number
507-388-3023
Fax Number
507-388-3353
Provider Enumeration Date
08/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
730 E Madison Ave
City
Mankato
State
Minnesota
Zip
56001-6100
Phone Number
507-388-3023
Fax Number
507-388-3353
person
Provider Business Mailing Address Details
Address
730 E Madison Ave
City
Mankato
State
Minnesota
Zip
56001-6100
Phone Number
507-388-3023
Fax Number
507-388-3353
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D12552 (Minnesota)
Definition
Definition to come...
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