| Sunrise River Dental Pa | |
|
26357 Forest Blvd Wyoming MN 55092-8353 | |
| (651) 462-7017 | |
| Not Available |
| Full Name | Sunrise River Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26357 Forest Blvd, Wyoming, Minnesota |
| Authorized Official Name and Position | Therese Rydlund (CDA, RDA) |
| Authorized Official Contact | 6514627017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise River Dental Pa 26357 Forest Blvd Wyoming MN 55092-8353 Ph: () - | Sunrise River Dental Pa 26357 Forest Blvd Wyoming MN 55092-8353 Ph: (651) 462-7017 |
| NPI Number | 1942361324 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942361324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10152 (Minnesota) | Primary |
Wyoming Family Dental, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5305 E Viking Blvd, Wyoming, MN 55092 Phone: 651-462-5150 | |
Borealis Dental Wyoming Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26357 Forest Blvd # 2, Wyoming, MN 55092 Phone: 651-462-7017 | |
Wyoming Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5378 East Viking Blvd., Wyoming, MN 55092 Phone: 651-462-5150 |