| River Valley Endodontics Pa | |
|
2600 Wild Pines Lane Stillwater MN 55082-5420 | |
| (651) 439-8085 | |
| (651) 439-9705 |
| Full Name | River Valley Endodontics Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2600 Wild Pines Lane, Stillwater, Minnesota |
| Authorized Official Name and Position | Ernest S Reeh (OWNER) |
| Authorized Official Contact | 6514398085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Endodontics Pa 2600 Wild Pines Lane Stillwater MN 55082-5420 Ph: (651) 439-8085 | River Valley Endodontics Pa 2600 Wild Pines Lane Stillwater MN 55082-5420 Ph: (651) 439-8085 |
| NPI Number | 1013001031 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013001031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D10710 (Minnesota) | Primary |
| 1223E0200X | Dentist - Endodontics | D10281 (Minnesota) | Secondary |
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