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Rochester Pediatric Dentistry Llc
Dental Clinic/Center in Rochester, Minnesota
NPI 1609272822

Rochester Pediatric Dentistry Llc is a Dental Clinic/Center based in Rochester, MN and is specialized in Dental. Rochester Pediatric Dentistry Llc practices in Rochester, MN. The NPI Number for Rochester Pediatric Dentistry Llc is 1609272822 and holds a License No. D13120 (Minnesota).

The current practice location address for Rochester Pediatric Dentistry Llc is 1705 S Boradway Ave Ste B, Rochester, MN and can be reached out via phone at 507-288-0102 and via fax at 507-252-1445.

Location: 1705 S Boradway Ave Ste B, Rochester, MN, 55904-7960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609272822
Provider Name
Rochester Pediatric Dentistry Llc
Credential
Provider Entity Type
Organization
Address
1705 S Boradway Ave Ste B, Rochester, MN, 55904-7960
Phone Number
507-288-0102
Fax Number
507-252-1445
Provider Enumeration Date
11/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1705 S Boradway Ave Ste B
City
Rochester
State
Minnesota
Zip
55904-7960
Phone Number
507-288-0102
Fax Number
507-252-1445
person
Provider Business Mailing Address Details
Address
1705 S Boradway Ave Ste B
City
Rochester
State
Minnesota
Zip
55904-7960
Phone Number
507-288-0102
Fax Number
507-252-1445
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D13120 (Minnesota)
Definition
Definition to come...
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