Organization · Type 2 NPI
Rivers Edge Dental Clinic, PLLC
Dental Clinic/Center · Lakeville, MN
NPI number
1750861258
Active
Practice location
16023 Elmhurst Ln Ste 104
Lakeville, MN 55044-4791
Fax (651) 460-6123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1750861258
Rivers Edge Dental Clinic, PLLC's National Provider Identifier is 1750861258, issued on Aug 15, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lakeville, MN. The record was last updated on Aug 15, 2018.