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Organization

RIVER HILLS DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY SANFORD COOPER DDS (PRESIDENT)
(507) 452-9453
Entity
Organization

Contact information

Practice address
720 E HIGHWAY 61, WINONA, MN 55987-5300
(507) 452-9453
Mailing address
720 E HIGHWAY 61, WINONA, MN 55987-5300
(507) 452-9453

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D10482
MN
1223G0001X
General Practice Dentistry
D11568
MN
1223G0001X
General Practice Dentistry
D8406
MN
1223G0001X
General Practice Dentistry
Primary
D9899
MN

Other

Enumeration date
07/02/2006
Last updated
08/22/2020
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