| Rosemount Family Dentistry Pa | |
|
14590 South Robert Trail Rosemount MN 55068-3195 | |
| (651) 423-3993 | |
| (651) 423-1417 |
| Full Name | Rosemount Family Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14590 South Robert Trail, Rosemount, Minnesota |
| Authorized Official Name and Position | Duane Lee Bergh (PRESIDENT) |
| Authorized Official Contact | 6514233993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemount Family Dentistry Pa 14590 South Robert Trail Rosemount MN 55068-3195 Ph: (651) 423-3993 | Rosemount Family Dentistry Pa 14590 South Robert Trail Rosemount MN 55068-3195 Ph: (651) 423-3993 |
| NPI Number | 1851471460 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851471460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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