| Riverside Dental Pa | |
|
101 7th St N Sartell MN 56377-1521 | |
| (320) 253-8241 | |
| Not Available |
| Full Name | Riverside Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 7th St N, Sartell, Minnesota |
| Authorized Official Name and Position | Ellen Morris (DENTIST) |
| Authorized Official Contact | 3202538241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Pa 101 7th St N Sartell MN 56377-1521 Ph: (320) 253-8241 | Riverside Dental Pa 101 7th St N Sartell MN 56377-1521 Ph: (320) 253-8241 |
| NPI Number | 1982984902 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 08/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982984902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12756 (Minnesota) | Primary |
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