| Christie Berkseth-rojas Llc | |
|
3455 4th Ave S Minneapolis MN 55408-4527 | |
| (612) 315-6955 | |
| Not Available |
| Full Name | Christie Berkseth-rojas Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3455 4th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Christie Jo Berkseth-rojas (OWNER) |
| Authorized Official Contact | 6123156955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christie Berkseth-rojas Llc 3533 4th Ave S Minneapolis MN 55408-4528 Ph: (612) 730-5658 | Christie Berkseth-rojas Llc 3455 4th Ave S Minneapolis MN 55408-4527 Ph: (612) 315-6955 |
| NPI Number | 1033677208 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033677208 | NPI | - | NPPES |
| 1962795856 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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