Organization
LAKERIDGE DENTAL PARTNERS, PLLC
Active
Other names
Lakeridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE M RIEWER DDS (OWNER)
(218) 847-9214
Entity
Organization
Contact information
Practice address
701 HIGHWAY 10 E, DETROIT LAKES, MN 56501-4219
(218) 847-9214
(218) 847-9215
Mailing address
PO BOX 517, DETROIT LAKES, MN 56502-0517
(218) 847-9214
(218) 847-9215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
02/14/2012
Last updated
08/15/2012
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