| NPI | 1548708225 |
|---|---|
| Doing Business As | VALLEY RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATIE E. DANIELS Owner 651-439-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN D12824) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |