Raintree Dental | |
13551 Balsam Ln Dayton MN 55327 | |
(763) 422-1714 | |
(763) 712-5754 |
Full Name | Raintree Dental |
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Speciality | Dentist - General Practice |
Location | 13551 Balsam Ln, Dayton, Minnesota |
Authorized Official Name and Position | Patrick Anthony Aydt (OWNER) |
Authorized Official Contact | 7634221714 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Raintree Dental 13551 Balsam Ln Dayton MN 55327 Ph: (763) 422-1714 | Raintree Dental 13551 Balsam Ln Dayton MN 55327 Ph: (763) 422-1714 |
NPI Number | 1992847453 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992847453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D10574 (Minnesota) | Primary |