| 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 |