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Organization
VALLEY RIDGE DENTAL ARTS
Active
Organization
VALLEY RIDGE DENTAL ARTS
Active
Other names
Valley Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE E. DANIELS D.D.S. (OWNER)
(651) 439-0322
Entity
Organization
Contact information
Practice address
12425 55TH ST N STE B, LAKE ELMO, MN 55042-7404
(651) 439-0322
Mailing address
12425 55TH ST N STE B, LAKE ELMO, MN 55042-7404
(651) 439-0322
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D12824
MN
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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