Organization
RIVERDALE PEDIATRIC DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARCY JAY RINDELAUB D.D.S. (PEDIATRIC DENTIST)
(763) 767-1524
Entity
Organization
Contact information
Practice address
3585 124TH AVE NW, STE 400, COON RAPIDS, MN 55433-1006
(763) 767-1524
(763) 767-1528
Mailing address
3585 124TH AVE NW, STE 400, COON RAPIDS, MN 55433-1006
(763) 767-1524
(763) 767-1528
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11365
MN
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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