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1043955412
CREEKSIDE DENTAL PLLC
ST LOUIS PARK, MN
NPI
1043955412
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Entity Type
Organization
Authorized Contact
GABRIEL DE LOS RIOS
Owner/Dentist
763-442-7624
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2022-05-01
Last Update Date
2022-05-01
Business Address
CREEKSIDE DENTAL PLLC
3340 REPUBLIC AVE STE 130
ST LOUIS PARK, MN 55426-4189
Phone number: 763-442-7624
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Mailing Address
CREEKSIDE DENTAL PLLC
12445 PORCUPINE CT
EDEN PRAIRIE, MN 55344-3972
Phone number: 612-327-3331
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