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West River Dental Care
General Practice Dentistry in Minneapolis, Minnesota
NPI 1033223581

West River Dental Care is a General Practice Dentistry based in Minneapolis, MN and is specialized in General Practice. West River Dental Care practices in Minneapolis, MN. The NPI Number for West River Dental Care is 1033223581 and holds a License No. 10636 (Minnesota).

The current practice location address for West River Dental Care is 4103 E Lake St, Minneapolis, MN and can be reached out via phone at 612-721-2424 and via fax at 612-721-3054.

Location: 4103 E Lake St, Minneapolis, MN, 55406-2259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033223581
Provider Name
West River Dental Care
Credential
Provider Entity Type
Organization
Address
4103 E Lake St, Minneapolis, MN, 55406-2259
Phone Number
612-721-2424
Fax Number
612-721-3054
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7B839SK 01 MN BCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
4103 E Lake St
City
Minneapolis
State
Minnesota
Zip
55406-2259
Phone Number
612-721-2424
Fax Number
612-721-3054
person
Provider Business Mailing Address Details
Address
4103 E Lake St
City
Minneapolis
State
Minnesota
Zip
55406-2259
Phone Number
612-721-2424
Fax Number
612-721-3054
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10636 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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