| Cld - Rochester Mn, Llc | |
|
2765 Commerce Dr Nw Ste 230 Rochester MN 55901-2987 | |
| (507) 218-8815 | |
| (507) 218-8815 |
| Full Name | Cld - Rochester Mn, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2765 Commerce Dr Nw Ste 230, Rochester, Minnesota |
| Authorized Official Name and Position | David Park (CEO/PRESIDENT/OWNER) |
| Authorized Official Contact | 6514449644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cld - Rochester Mn, Llc 2765 Commerce Dr Nw Ste 230 Rochester MN 55901-2987 Ph: () - | Cld - Rochester Mn, Llc 2765 Commerce Dr Nw Ste 230 Rochester MN 55901-2987 Ph: (507) 218-8815 |
| NPI Number | 1821838384 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821838384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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