| Dr Gerald W Rauchwarter Dds Llc | |
|
1960 Cliff Lake Road #127 Eagan MN 55122 | |
| (651) 681-1676 | |
| (651) 681-9085 |
| Full Name | Dr Gerald W Rauchwarter Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1960 Cliff Lake Road, Eagan, Minnesota |
| Authorized Official Name and Position | Gerald Wayne Rauchwarter (DDS OWNER) |
| Authorized Official Contact | 6516811676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald W Rauchwarter Dds Llc 1960 Cliff Lake Road #127 Eagan MN 55122 Ph: (651) 681-1676 | Dr Gerald W Rauchwarter Dds Llc 1960 Cliff Lake Road #127 Eagan MN 55122 Ph: (651) 681-1676 |
| NPI Number | 1841368545 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841368545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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