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Rice Lake Dental, P.a.
Dental Clinic/Center in Maple Grove, Minnesota
NPI 1760107502

Rice Lake Dental, P.a. is a Dental Clinic/Center based in Maple Grove, MN and is specialized in Dental. Rice Lake Dental, P.a. practices in Maple Grove, MN. The NPI Number for Rice Lake Dental, P.a. is 1760107502 and holds a License No. (Minnesota).

The current practice location address for Rice Lake Dental, P.a. is 13998 Maple Knoll Way Ste 100, Maple Grove, MN and can be reached out via phone at 763-420-5599 and via fax at 763-416-4771.

Location: 13998 Maple Knoll Way Ste 100, Maple Grove, MN, 55369-7004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760107502
Provider Name
Rice Lake Dental, P.a.
Credential
Provider Entity Type
Organization
Address
13998 Maple Knoll Way Ste 100, Maple Grove, MN, 55369-7004
Phone Number
763-420-5599
Fax Number
763-416-4771
Provider Enumeration Date
10/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13998 Maple Knoll Way Ste 100
City
Maple Grove
State
Minnesota
Zip
55369-7004
Phone Number
763-420-5599
Fax Number
763-416-4771
person
Provider Business Mailing Address Details
Address
13998 Maple Knoll Way Ste 100
City
Maple Grove
State
Minnesota
Zip
55369-7004
Phone Number
763-420-5599
Fax Number
763-416-4771
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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