Organization
RIVERS BEND FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONNE DANZL (PRACTICE MANAGER)
(763) 576-1855
Entity
Organization
Contact information
Practice address
14061 SAINT FRANCIS BLVD, RAMSEY, MN 55303-4692
(763) 576-1855
Mailing address
14061 SAINT FRANCIS BLVD, RAMSEY, MN 55303-4692
(763) 576-1855
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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