Individual
RONALD MACBETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 14TH ST NW, ROCHESTER, MN 55901-0257
(507) 289-3921
Mailing address
1615 14TH ST NW, ROCHESTER, MN 55901-0257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13420
MN
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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