Rochester Pediatric Dentistry Llc | |
1705 S Boradway Ave Ste B Rochester MN 55904-7960 | |
(507) 288-0102 | |
(507) 252-1445 |
Full Name | Rochester Pediatric Dentistry Llc |
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Speciality | Clinic/center - Dental |
Location | 1705 S Boradway Ave Ste B, Rochester, Minnesota |
Authorized Official Name and Position | Kelly Amanda Jones (PEDIATRIC DENTIST, OWNER) |
Authorized Official Contact | 6082061233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rochester Pediatric Dentistry Llc 1705 S Boradway Ave Ste B Rochester MN 55904-7960 Ph: (507) 288-0102 | Rochester Pediatric Dentistry Llc 1705 S Boradway Ave Ste B Rochester MN 55904-7960 Ph: (507) 288-0102 |
NPI Number | 1609272822 |
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Provider Enumeration Date | 11/16/2014 |
Last Update Date | 12/08/2020 |
Identifier | Type | State | Issuer |
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1609272822 | NPI | - | NPPES |
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