| Rhode Island Dental, P.a. | |
|
3645 Rhode Island Ave S St Louis Park MN 55426-4030 | |
| (952) 938-7628 | |
| Not Available |
| Full Name | Rhode Island Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3645 Rhode Island Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Doug Talus (VICE PRESIDENT) |
| Authorized Official Contact | 9529387628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhode Island Dental, P.a. 3645 Rhode Island Ave S St Louis Park MN 55426-4030 Ph: (952) 938-7628 | Rhode Island Dental, P.a. 3645 Rhode Island Ave S St Louis Park MN 55426-4030 Ph: (952) 938-7628 |
| NPI Number | 1346273059 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346273059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10137 (Minnesota) | Primary |
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