Rice Lake Dental, PA
Rice Lake Dental, PA is a Dental Clinic/Center in Maple Grove, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13998 Maple Knoll Way Ste 100Maple Grove, MN 55369-7004
Phone: (763) 420-5599
Fax: (763) 416-4771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1760107502 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darrel Johnsrud — President · (612) 385-6718 |
| NPI enumerated | October 4, 2022 |
| Last updated in NPPES | October 4, 2022 |
| Certification date | October 4, 2022 |
| Mailing address | 13998 Maple Knoll Way Ste 100, Maple Grove, MN 55369-7004 |
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