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Organization
PINE RIVER DENTAL ARTS, P.C.
Active
Organization
PINE RIVER DENTAL ARTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME LYN PREBLE DDS (OWNER)
(218) 587-4437
Entity
Organization
Contact information
Practice address
203 PARK AVE, PINE RIVER, MN 56474
(218) 587-4437
(218) 587-4479
Mailing address
PO BOX 650, PINE RIVER, MN 56474-0650
(218) 587-4437
(218) 587-4479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13283
MN
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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