Organization · Type 2 NPI
Rice Lake Dental, P.a.
Dental Clinic/Center · Maple Grove, MN
NPI number
1760107502
Active
Practice location
13998 Maple Knoll Way Ste 100
Maple Grove, MN 55369-7004
Fax (763) 416-4771
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 1760107502
Rice Lake Dental, P.a.'s National Provider Identifier is 1760107502, issued on Oct 4, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 4, 2022.