| A Gentle Dental Center Of Rogers | |
|
14115 James Rd Suite 303 Rogers MN 55374-9468 | |
| (763) 428-2226 | |
| (763) 428-3407 |
| Full Name | A Gentle Dental Center Of Rogers |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14115 James Rd, Rogers, Minnesota |
| Authorized Official Name and Position | Jill Pucel Koopman (OWNER) |
| Authorized Official Contact | 7634282226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Gentle Dental Center Of Rogers 14115 James Rd Suite 303 Rogers MN 55374-9468 Ph: (763) 428-2226 | A Gentle Dental Center Of Rogers 14115 James Rd Suite 303 Rogers MN 55374-9468 Ph: (763) 428-2226 |
| NPI Number | 1124198635 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124198635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11666 (Minnesota) | Primary |
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