| River Valley Dental | |
|
124 E Walnut St Ste 300 Mankato MN 56001 | |
| (507) 388-3384 | |
| (507) 388-6079 |
| Full Name | River Valley Dental |
|---|---|
| Speciality | Dentist |
| Location | 124 E Walnut St, Mankato, Minnesota |
| Authorized Official Name and Position | Tom L Pooley (DENTIST OWNER) |
| Authorized Official Contact | 5073883384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Dental 124 E Walnut St Ste 300 Mankato MN 56001 Ph: (507) 388-3384 | River Valley Dental 124 E Walnut St Ste 300 Mankato MN 56001 Ph: (507) 388-3384 |
| NPI Number | 1275636615 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275636615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12049 (Minnesota) | Primary |
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