Organization
ST. CROIX KIDDS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARCY JAY RINDELAUB D.D.S. (PEDIATRIC DENTIST)
(715) 808-0460
Entity
Organization
Contact information
Practice address
4951 MOREHEAD AVE, WHITE BEAR LAKE, MN 55110-2633
(651) 324-4270
Mailing address
400 2ND ST S, SUITE 250, HUDSON, WI 54016-4000
(715) 808-0460
(715) 808-0142
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6666-015
WI
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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