West River Dental Care

NPI #1033223581 in Minneapolis, Minnesota

Provider Information

NPI Number: 1033223581
Entity Type: Organization
Organization Name: West River Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4103 E LAKE ST
City: Minneapolis
State: Minnesota
ZIP Code: 55406-2259
Phone: (612) 721-2424

Authorized Official

Name: DR. MICHAEL PAUL SKADRON, D.D.S.
Title: OWNER
Phone: (612) 721-2424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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