| NPI | 1700932449 |
|---|---|
| Doing Business As | HEALTHPARTNERS RIVERSIDE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M COONEY CAO 952-883-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |