Aspen Dental | |
3570 River Rapids Drive Nw Ste 110 Coor Rapids MN 55448 | |
(315) 454-6000 | |
(866) 803-4943 |
Full Name | Aspen Dental |
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Speciality | Dentist - General Practice |
Location | 3570 River Rapids Drive Nw, Coor Rapids, Minnesota |
Authorized Official Name and Position | Kim Van Camp (PROVIDER RELATIONS SPECIALIST) |
Authorized Official Contact | 3154646000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aspen Dental 3570 River Rapids Drive Nw Ste 110 Coor Rapids MN 55448 Ph: (315) 454-6000 | Aspen Dental 3570 River Rapids Drive Nw Ste 110 Coor Rapids MN 55448 Ph: (315) 454-6000 |
NPI Number | 1912395419 |
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Provider Enumeration Date | 01/06/2015 |
Last Update Date | 01/06/2015 |
Identifier | Type | State | Issuer |
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1912395419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 13479 (Minnesota) | Primary |