Young at Heart Dentistry

NPI #1063841559 in Alexandria, Minnesota

Provider Information

NPI Number: 1063841559
Entity Type: Organization
Organization Name: Young at Heart Dentistry
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2013
Last Updated: Nov 5, 2013

Practice Location

Address: 111 10TH AVE E
City: Alexandria
State: Minnesota
ZIP Code: 56308-1857
Phone: (320) 763-3113

Authorized Official

Name: DR. RICK DARIN THIERY, DDS
Title: DOCTOR/DENTIST OWNER
Phone: (320) 763-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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