Rice Regional Dental Clinic

NPI #1205016078 in Willmar, Minnesota

Provider Information

NPI Number
1205016078
Entity Type
Organization
Organization Name
Rice Regional Dental Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
RICE MEMORIAL HOSPITAL
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 9, 2007
Last Updated
Mar 28, 2014

Practice Location

Address
301 BECKER AVE SW
ZIP Code
56201-3302
Phone
(320) 214-2621

Authorized Official

Name
MR. BILL FENSKE
Title
CHIEF FINANCIAL OFFICER
Phone
(320) 231-4009

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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