FALLON THEIS, DDS

Dentist

Active Individual
NPI: 1407340524

Practice Address

623 S SIBLEY AVE
Litchfield, MN 55355

Phone: (320) 693-8131

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D14054 (MN)

Frequently Asked Questions

NPI 1407340524 is the National Provider Identifier for FALLON THEIS, DDS, a Dentist provider located in Litchfield, MN. This NPI was enumerated on June 21, 2018.
FALLON THEIS, DDS practices at 623 S SIBLEY AVE, Litchfield, MN 55355.

Quick Facts

NPI
1407340524
Type
Individual
Enumerated
Jun 21, 2018
Last Updated
Jun 21, 2018

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