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NPI 1144045840

OrganizationActive

Avon Dental PLLC

NPI 1144045840 · Dental Clinic/Center · Avon, MN

Provider details

NPI number: 1144045840
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Nicolette Porttiin, President

Practice location

308a Blattner Dr

Avon, MN 56310-8674

Phone: (320) 356-7374

More MN providers

Mailing address

24183 69th Ave

Saint Augusta, MN 56301-8402

Registry dates

Enumerated: 2024-11-18
Last updated: 2024-11-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Avon Dental PLLC — NPI 1144045840, Avon, MN | NPI Central