Organization · Type 2 NPI
Rochester Pediatric Dentistry LLC
Dental Clinic/Center · Rochester, MN
NPI number
1609272822
Active
Practice location
1705 S Boradway Ave Ste B
Rochester, MN 55904-7960
Fax (507) 252-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | D13120 (MN) |
| Pediatric Dentistry | 1223P0221X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1609272822
Rochester Pediatric Dentistry LLC's National Provider Identifier is 1609272822, issued on Nov 16, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rochester, MN. The record was last updated on Dec 8, 2020.