| River City Dental, Llc | |
|
1201 Maine Prairie Rd Saint Cloud MN 56301-4881 | |
| (320) 252-6233 | |
| (320) 252-9261 |
| Full Name | River City Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1201 Maine Prairie Rd, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Dedric Mcbroom (OWNER) |
| Authorized Official Contact | 3202526233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River City Dental, Llc Po Box 280 Saint Cloud MN 56302-0280 Ph: (320) 252-6233 | River City Dental, Llc 1201 Maine Prairie Rd Saint Cloud MN 56301-4881 Ph: (320) 252-6233 |
| NPI Number | 1356411417 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356411417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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