Nicole Tripp Dds Pllc | |
33 Birch Ave S Maple Lake MN 55358-4570 | |
(320) 963-3794 | |
(320) 547-4002 |
Full Name | Nicole Tripp Dds Pllc |
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Speciality | Clinic/center - Dental |
Location | 33 Birch Ave S, Maple Lake, Minnesota |
Authorized Official Name and Position | Nicole Leigh Tripp (OWNER) |
Authorized Official Contact | 3209633794 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicole Tripp Dds Pllc Po Box 67 Maple Lake MN 55358-0067 Ph: (320) 963-3794 | Nicole Tripp Dds Pllc 33 Birch Ave S Maple Lake MN 55358-4570 Ph: (320) 963-3794 |
NPI Number | 1770339590 |
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Provider Enumeration Date | 04/24/2024 |
Last Update Date | 04/24/2024 |
Identifier | Type | State | Issuer |
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1770339590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |