| Cedar Ridge Dental Centre | |
|
Po Box J 303 Powell Ave Coleraine MN 55722-0810 | |
| (218) 245-2451 | |
| Not Available |
| Full Name | Cedar Ridge Dental Centre |
|---|---|
| Speciality | Dentist |
| Location | Po Box J, Coleraine, Minnesota |
| Authorized Official Name and Position | Matthew S Schroeder (OWNER) |
| Authorized Official Contact | 2182452451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Ridge Dental Centre Po Box J 303 Powell Ave Coleraine MN 55722-0810 Ph: (218) 245-2451 | Cedar Ridge Dental Centre Po Box J 303 Powell Ave Coleraine MN 55722-0810 Ph: (218) 245-2451 |
| NPI Number | 1366772923 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366772923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11954 (Minnesota) | Primary |
| 122300000X | Dentist | D12050 (Minnesota) | Secondary |
Anderson Family Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Mclean Ave, Coleraine, MN 55722 Phone: 218-245-1278 Fax: 218-245-1333 | |
Cedar Ridge Dental Centre Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Powell Ave, Coleraine, MN 55722 Phone: 218-245-2451 |