RICE LAKE DENTAL, P.A.

MAPLE GROVE, MN
NPI1760107502
Entity TypeOrganization
Authorized ContactDARREL HOWARD JOHNSRUD
President
612-385-6718
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-10-04
Last Update Date2022-10-04
Business Address
RICE LAKE DENTAL, P.A.
13998 MAPLE KNOLL WAY STE 100
MAPLE GROVE, MN 55369-7004
Phone number: 763-420-5599
Mailing Address
RICE LAKE DENTAL, P.A.
13998 MAPLE KNOLL WAY STE 100
MAPLE GROVE, MN 55369-7004
Phone number: 763-420-5599
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