| Dreamhaven Dental Sleep Medicine | |
|
13495 Elder Dr Suite 100 Baxter MN 56425-8763 | |
| (218) 454-0523 | |
| Not Available |
| Full Name | Dreamhaven Dental Sleep Medicine |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13495 Elder Dr, Baxter, Minnesota |
| Authorized Official Name and Position | Clinton Lawrence Roberts (OWNER DENTIST) |
| Authorized Official Contact | 2184540523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dreamhaven Dental Sleep Medicine 13495 Elder Drive Suite 100 Baxter MN 56425 Ph: (218) 454-0523 | Dreamhaven Dental Sleep Medicine 13495 Elder Dr Suite 100 Baxter MN 56425-8763 Ph: (218) 454-0523 |
| NPI Number | 1811327190 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811327190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10518 (Minnesota) | Primary |
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