Ridges Family Dental Pllc

NPI #1629521893 in Burnsville, Minnesota

Provider Information

NPI Number: 1629521893
Entity Type: Organization
Organization Name: Ridges Family Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2016
Last Updated: Jul 25, 2016

Practice Location

Address: 50 MCANDREWS RD E
City: Burnsville
State: Minnesota
ZIP Code: 55337-5718
Phone: (952) 892-5050

Authorized Official

Name: DR. TODD ALAN PORTER, DDS
Title: DDS, OWNER
Phone: (952) 892-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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