Bluffside Dental | |
424 W 5th St Red Wing MN 55066-2524 | |
(651) 388-5492 | |
Not Available |
Full Name | Bluffside Dental |
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Speciality | Dentist |
Location | 424 W 5th St, Red Wing, Minnesota |
Authorized Official Name and Position | Todd Porter (OWNER/DENTIST) |
Authorized Official Contact | 9528925050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bluffside Dental 50 Mcandrews Rd E Burnsville MN 55337-5718 Ph: (952) 892-5050 | Bluffside Dental 424 W 5th St Red Wing MN 55066-2524 Ph: (651) 388-5492 |
NPI Number | 1558858803 |
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Provider Enumeration Date | 04/21/2018 |
Last Update Date | 04/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558858803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D11535 (Minnesota) | Primary |
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