Organization
YOUNG AT HEART DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK DARIN THIERY DDS (DOCTOR/DENTIST OWNER)
(320) 763-3113
Entity
Organization
Contact information
Practice address
111 10TH AVE E, ALEXANDRIA, MN 56308-1857
(320) 763-3113
(320) 759-1401
Mailing address
111 10TH AVE E, ALEXANDRIA, MN 56308-1857
(320) 763-3113
(320) 759-1401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11247
MN
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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