Organization
VALLEY RIDGE DENTAL ARTS
Active
Other names
Valley Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE E. DANIELS D.D.S. (OWNER)
(651) 439-0322
Entity
Organization
Contact information
Practice address
12425 55TH ST N STE B, LAKE ELMO, MN 55042-7404
(651) 439-0322
Mailing address
12425 55TH ST N STE B, LAKE ELMO, MN 55042-7404
(651) 439-0322
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D12824
MN
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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