| Pine River Dental Center Llc | |
|
203 Park Ave W Pine River MN 56474-4495 | |
| (218) 587-4437 | |
| Not Available |
| Full Name | Pine River Dental Center Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 203 Park Ave W, Pine River, Minnesota |
| Authorized Official Name and Position | John M Collier (OWNER) |
| Authorized Official Contact | 2185874437 |
| 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: (218) 587-4437 | Pine River Dental Center Llc 203 Park Ave W Pine River MN 56474-4495 Ph: (218) 587-4437 |
| NPI Number | 1891954830 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891954830 | NPI | - | NPPES |
Pine River Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave W, Pine River, MN 56474 Phone: 218-587-4438 | |
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 |