| Raintree Dental | |
|
13551 Balsam Ln Dayton MN 55327 | |
| (763) 422-1714 | |
| (763) 712-5754 |
| Full Name | Raintree Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13551 Balsam Ln, Dayton, Minnesota |
| Authorized Official Name and Position | Patrick Anthony Aydt (OWNER) |
| Authorized Official Contact | 7634221714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raintree Dental 13551 Balsam Ln Dayton MN 55327 Ph: (763) 422-1714 | Raintree Dental 13551 Balsam Ln Dayton MN 55327 Ph: (763) 422-1714 |
| NPI Number | 1992847453 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992847453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10574 (Minnesota) | Primary |