Pine River Dental Center LLC

NPI #1891954830 in Pine River, Minnesota

Provider Information

NPI Number
1891954830
Entity Type
Organization
Organization Name
Pine River Dental Center LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 5, 2008
Last Updated
Oct 29, 2008

Practice Location

Address
203 PARK AVE W
ZIP Code
56474-4495
Phone
(218) 587-4437

Authorized Official

Name
JOHN M COLLIER, D.D.S
Title
OWNER
Phone
(218) 587-4437

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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