| Riverdale Pediatric Dentistry P.a. | |
|
3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1006 | |
| (763) 767-1524 | |
| (763) 767-1528 |
| Full Name | Riverdale Pediatric Dentistry P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3585 124th Ave Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Darcy Jay Rindelaub (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7637671524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverdale Pediatric Dentistry P.a. 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1006 Ph: (763) 767-1524 | Riverdale Pediatric Dentistry P.a. 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1006 Ph: (763) 767-1524 |
| NPI Number | 1053690198 |
|---|---|
| Provider Enumeration Date | 08/07/2011 |
| Last Update Date | 08/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053690198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D11365 (Minnesota) | Primary |
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