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Contact Information

RIVER VALLEY ENDODONTICS PA
2600 WILD PINES LANE
STILLWATER, MN55082-5420
 Phone: 651-439-8085
 Fax: 651-439-9705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RIVER VALLEY ENDODONTICS PA · (Female)

NPI Number 1013001031
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D10281
  • MN License # D10710
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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