Crystal Dental Clinic Llc | |
1812 2nd St Sw Rochester MN 55902-4127 | |
(507) 208-4141 | |
(507) 229-1001 |
Full Name | Crystal Dental Clinic Llc |
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Speciality | Dentist - General Practice |
Location | 1812 2nd St Sw, Rochester, Minnesota |
Authorized Official Name and Position | Michelle Theede (OFFICE MANAGER) |
Authorized Official Contact | 5072084141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crystal Dental Clinic Llc 1812 2nd St Sw Rochester MN 55902-4127 Ph: (507) 208-4141 | Crystal Dental Clinic Llc 1812 2nd St Sw Rochester MN 55902-4127 Ph: (507) 208-4141 |
NPI Number | 1386479657 |
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Provider Enumeration Date | 09/05/2024 |
Last Update Date | 09/05/2024 |
Identifier | Type | State | Issuer |
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1386479657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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