| Today's Dental Rogers Llc | |
|
21897 S Diamond Lake Rd Ste 600 Rogers MN 55374-4649 | |
| (763) 657-0872 | |
| Not Available |
| Full Name | Today's Dental Rogers Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21897 S Diamond Lake Rd Ste 600, Rogers, Minnesota |
| Authorized Official Name and Position | Jacque Erickson (OFFICE MANAGER) |
| Authorized Official Contact | 7637109937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Today's Dental Rogers Llc 21897 S Diamond Lake Rd Ste 600 Rogers MN 55374-4649 Ph: (763) 657-0872 | Today's Dental Rogers Llc 21897 S Diamond Lake Rd Ste 600 Rogers MN 55374-4649 Ph: (763) 657-0872 |
| NPI Number | 1386372597 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386372597 | NPI | - | NPPES |
| 1194018374 | Other | MN | GENERAL DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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