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Organization
NICOLE TRIPP DDS PLLC
Active
Organization
NICOLE TRIPP DDS PLLC
Active
Other names
Sunfish Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LEIGH TRIPP DDS (OWNER)
(320) 963-3794
Entity
Organization
Contact information
Practice address
33 BIRCH AVE S, MAPLE LAKE, MN 55358-4570
(320) 963-3794
(320) 547-4002
Mailing address
PO BOX 67, MAPLE LAKE, MN 55358-0067
(320) 963-3794
(320) 547-4002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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