| Mn Dentistry, Pc | |
|
3570 River Rapids Drive Nw Ste 110 Coor Rapids MN 55448 | |
| (315) 454-6000 | |
| (866) 803-4943 |
| Full Name | Mn Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3570 River Rapids Drive Nw, Coor Rapids, Minnesota |
| Authorized Official Name and Position | Kim Van Camp (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3154646000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mn Dentistry, Pc 3570 River Rapids Drive Nw Ste 110 Coor Rapids MN 55448 Ph: (315) 454-6000 | Mn Dentistry, Pc 3570 River Rapids Drive Nw Ste 110 Coor Rapids MN 55448 Ph: (315) 454-6000 |
| NPI Number | 1912395419 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912395419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13479 (Minnesota) | Primary |