Organization
RIEWER & STEINMETZ DDS PLLC
Active
Other names
Lakeridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372149300
—
MN
05
—
719517600
—
MN
Enumeration date
10/26/2006
Last updated
08/26/2010
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