| Pine River Dental Center Llc | |
|
203 Park Ave W Pine River MN 56474-4495 | |
| (218) 587-4438 | |
| Not Available |
| Full Name | Pine River Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 Park Ave W, Pine River, Minnesota |
| Authorized Official Name and Position | Jaime Preble (GENERAL DENTIST) |
| Authorized Official Contact | 2185874438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine River Dental Center Llc Po Box 650 Pine River MN 56474-0650 Ph: () - | Pine River Dental Center Llc 203 Park Ave W Pine River MN 56474-4495 Ph: (218) 587-4438 |
| NPI Number | 1265845937 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265845937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D13393 (Minnesota) | Primary |
Pine River Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave W, Pine River, MN 56474 Phone: 218-587-4437 | |
Pine River Dental Arts, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave, Pine River, MN 56474 Phone: 218-587-4437 Fax: 218-587-4479 |