Organization · Type 2 NPI
Riverdale Pediatric Dentistry P.a.
Pediatric Dentistry · Coon Rapids, MN
NPI number
1053690198
Active
Practice location
3585 124th Ave NW, Ste 400
Coon Rapids, MN 55433-1006
Fax (763) 767-1528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D11365 (MN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Coon Rapids
About NPI 1053690198
Riverdale Pediatric Dentistry P.a.'s National Provider Identifier is 1053690198, issued on Aug 7, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Coon Rapids, MN. The record was last updated on Aug 7, 2011.