Greenhaven Family Dental

NPI #1508125584 in Baxter, Minnesota

Provider Information

NPI Number
1508125584
Entity Type
Organization
Organization Name
Greenhaven Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
May 10, 2012
Last Updated
May 10, 2012

Practice Location

Address
13495 ELDER DR
Address 2
SUITE 100
City
Baxter
ZIP Code
56425-8763
Phone
(218) 454-0523

Authorized Official

Name
CLINTON L ROBERTS, DDS
Title
OWNER
Phone
(218) 454-0523

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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