| Young At Heart Dentistry | |
|
111 10th Ave E Alexandria MN 56308-1857 | |
| (320) 763-3113 | |
| (320) 759-1401 |
| Full Name | Young At Heart Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 111 10th Ave E, Alexandria, Minnesota |
| Authorized Official Name and Position | Rick Darin Thiery (DOCTOR/DENTIST OWNER) |
| Authorized Official Contact | 3207633113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young At Heart Dentistry 111 10th Ave E Alexandria MN 56308-1857 Ph: (320) 763-3113 | Young At Heart Dentistry 111 10th Ave E Alexandria MN 56308-1857 Ph: (320) 763-3113 |
| NPI Number | 1063841559 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063841559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11247 (Minnesota) | Primary |
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