| Scandia Family Dental Pa | |
|
21080 Olinda Trail N Scandia MN 55073 | |
| (651) 433-2655 | |
| (651) 433-2655 |
| Full Name | Scandia Family Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 21080 Olinda Trail N, Scandia, Minnesota |
| Authorized Official Name and Position | Michele Marie Revoir (DENTIST) |
| Authorized Official Contact | 6514332655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scandia Family Dental Pa 21080 Olinda Trail N Scandia MN 55073 Ph: (651) 433-2655 | Scandia Family Dental Pa 21080 Olinda Trail N Scandia MN 55073 Ph: (651) 433-2655 |
| NPI Number | 1194886630 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194886630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |