Riverdale Kidds Pediatric Dentistry, Pllc | |
3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1008 | |
(763) 283-5494 | |
Not Available |
Full Name | Riverdale Kidds Pediatric Dentistry, Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3585 124th Ave Nw Ste 400, Coon Rapids, Minnesota |
Authorized Official Name and Position | Deann Carlson (FINANCIAL COORDINATOR) |
Authorized Official Contact | 7632835494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Riverdale Kidds Pediatric Dentistry, Pllc 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1008 Ph: (763) 767-1524 | Riverdale Kidds Pediatric Dentistry, Pllc 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1008 Ph: (763) 283-5494 |
NPI Number | 1477025906 |
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Provider Enumeration Date | 12/21/2018 |
Last Update Date | 12/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477025906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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