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1366136269
CLD - COON RAPIDS MN, LLC
COON RAPIDS, MN
NPI
1366136269
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Entity Type
Organization
Authorized Contact
DAVID PARK
CEO/Owner
651-444-9644
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
CLD - COON RAPIDS MN, LLC
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-2629
Phone number: 763-200-5280
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Mailing Address
CLD - COON RAPIDS MN, LLC
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-2629
Phone number:
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