Rivers Edge Dental Clinic, Pllc

NPI #1750861258 in Lakeville, Minnesota

Provider Information

NPI Number
1750861258
Entity Type
Organization
Organization Name
Rivers Edge Dental Clinic, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
RIVERS EDGE DENTAL CLINIC, PLLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 15, 2018
Last Updated
Aug 15, 2018

Practice Location

Address
16023 ELMHURST LN STE 104
ZIP Code
55044-4791
Phone
(952) 232-6454

Authorized Official

Name
DR. JESSICA ANN TRI, DDS
Title
OWNER
Phone
(952) 232-6454

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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