Rogers Dental Center P.a. | |
21410 136th Ave North Suite #109 Rogers MN 55374 | |
(763) 428-2217 | |
(763) 428-8586 |
Full Name | Rogers Dental Center P.a. |
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Speciality | Dentist - General Practice |
Location | 21410 136th Ave North Suite #109, Rogers, Minnesota |
Authorized Official Name and Position | Shana Elizabeth Mcveigh Heisler (PRESIDENT) |
Authorized Official Contact | 7634282217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rogers Dental Center P.a. 21410 136th Ave North Suite #109 Rogers MN 55374 Ph: (763) 428-2217 | Rogers Dental Center P.a. 21410 136th Ave North Suite #109 Rogers MN 55374 Ph: (763) 428-2217 |
NPI Number | 1386715704 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 07/02/2019 |
Identifier | Type | State | Issuer |
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1386715704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D9395 (Minnesota) | Primary |
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