| Riverdale Kidds Pediatric Dentistry, Pllc | |
|
3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1008 | |
| (763) 283-5494 | |
| Not Available |
| Full Name | Riverdale Kidds Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3585 124th Ave Nw Ste 400, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Deann Carlson (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 7632835494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverdale Kidds Pediatric Dentistry, Pllc 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1008 Ph: (763) 767-1524 | Riverdale Kidds Pediatric Dentistry, Pllc 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1008 Ph: (763) 283-5494 |
| NPI Number | 1477025906 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 12/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477025906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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