| Root Cause | |
|
5009 Excelsior Blvd Ste 124 St Louis Park MN 55416-3040 | |
| (952) 926-0020 | |
| (952) 926-0417 |
| Full Name | Root Cause |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5009 Excelsior Blvd Ste 124, St Louis Park, Minnesota |
| Authorized Official Name and Position | Maria Elena Miller-rinaldi (OWNER) |
| Authorized Official Contact | 9529260020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Cause 5009 Excelsior Blvd Ste 124 St Louis Park MN 55416-3040 Ph: (952) 926-0020 | Root Cause 5009 Excelsior Blvd Ste 124 St Louis Park MN 55416-3040 Ph: (952) 926-0020 |
| NPI Number | 1538801048 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538801048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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