Organization
RIDGES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITTELSTEADT DDS (OWNER)
(651) 681-9044
Entity
Organization
Contact information
Practice address
625 E NICOLLET BLVD STE 202, BURNSVILLE, MN 55337-6735
(952) 435-0300
(952) 435-0360
Mailing address
625 E NICOLLET BLVD STE 202, BURNSVILLE, MN 55337-6735
(952) 435-0300
(952) 435-0360
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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