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Organization
PINE RIDGE DENTAL PA
Active
Organization
PINE RIDGE DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANDRESEN NARR DDS (DENTIST)
(763) 856-5100
Entity
Organization
Contact information
Practice address
26273 2ND ST E, SUITE A, ZIMMERMAN, MN 55398
(763) 856-5100
(763) 856-0366
Mailing address
PO BOX 223, 26273 2ND ST E SUITE A, ZIMMERMAN, MN 55398
(763) 856-5100
(763) 856-0366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
08/21/2014
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