| NPI | 1366772923 |
|---|---|
| Doing Business As | CEDAR RIDGE DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW S SCHROEDER Owner 218-245-2451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D11954) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D12050) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |