Pine River Dental Center Llc

NPI 1265845937 - Dentist - 1223G0001X

NPI Details
NPI 1265845937
Enumeration Date 06/10/2014
Last Updated 06/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JAIME JAIME
Position GENERAL DENTIST
Phone (218) 587-4438
Fax
Practice Location
203 PARK AVE W
PINE RIVER MN, 56474-4495, US
Phone (218) 587-4438
Fax
Business Location
PO BOX 650
PINE RIVER MN, 56474-0650, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D13393
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According to our database, Pine River Dental Center Llc NPI is 1265845937, taxonomy code is 1223G0001X and license number is D13393, license state is located at Minnesota. Pine River Dental Center Llc physically located at 203 Park Ave W, Pine River MN, 56474-4495. NPI Number 1033115704 has the healthcare provider type.

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1265845937 NPI number is provided on an as is basis without warranty of any kind. 1265845937 is maintained by the National Plan & Provider Enumeration System. The contents of Pine River Dental Center Llc are for informational purposes only.