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NPI Profile for PINE RIDGE DENTAL PA in ZIMMERMAN, MN.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1033206750 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/06/2006 | |
| Last updated | 08/21/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PINE RIDGE DENTAL PA
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PINE RIDGE DENTAL PA