NPI | 1063685493 |
---|---|
Doing Business As | RICE CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW DOUGLAS BERG President 651-235-9227 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D11937) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2008-05-20 |