| River Valley Dental, P.a. | |
|
1260 N Frontage Rd Hastings MN 55033-2359 | |
| (651) 437-1940 | |
| (651) 437-9333 |
| Full Name | River Valley Dental, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1260 N Frontage Rd, Hastings, Minnesota |
| Authorized Official Name and Position | Kevin Lawrence Tri (PRESIDENT) |
| Authorized Official Contact | 6514371940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Dental, P.a. 1260 N Frontage Rd Hastings MN 55033-2359 Ph: (651) 437-1940 | River Valley Dental, P.a. 1260 N Frontage Rd Hastings MN 55033-2359 Ph: (651) 437-1940 |
| NPI Number | 1083880108 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083880108 | NPI | - | NPPES |
| 4068165-00 | Medicaid | MN | |
| 817972 | Other | MN | UNITED CONCORDIA DENTAL INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10489 (Minnesota) | Primary |
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