Riverside Dental PA

NPI #1982984902 in Sartell, Minnesota

Provider Information

NPI Number
1982984902
Entity Type
Organization
Organization Name
Riverside Dental PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 22, 2011
Last Updated
Aug 22, 2011

Practice Location

Address
101 7TH ST N
ZIP Code
56377-1521
Phone
(320) 253-8241

Authorized Official

Name
ELLEN MORRIS, DDS
Title
DENTIST
Phone
(320) 253-8241

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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