Amethyst Dental Care Llc | |
1751 Highway 52 N Rochester MN 55901-1692 | |
(507) 282-9288 | |
(507) 292-6622 |
Full Name | Amethyst Dental Care Llc |
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Speciality | Dentist - General Practice |
Location | 1751 Highway 52 N, Rochester, Minnesota |
Authorized Official Name and Position | John C. Boeker (MANAGING PARTNER) |
Authorized Official Contact | 5072889288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amethyst Dental Care Llc 1751 Highway 52 N Rochester MN 55901-1692 Ph: (507) 282-9288 | Amethyst Dental Care Llc 1751 Highway 52 N Rochester MN 55901-1692 Ph: (507) 282-9288 |
NPI Number | 1609485432 |
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Provider Enumeration Date | 07/28/2020 |
Last Update Date | 07/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609485432 | NPI | - | NPPES |
1841286457 | Other | MN | NPI |
1720073554 | Other | MN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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