Organization
PILLAGER COUNTRY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EDWARD ROSE DDS (DOCTOR/ OWNER)
(218) 746-4555
Entity
Organization
Contact information
Practice address
727 BUCKSKIN AVE W, PILLAGER, MN 56473
(218) 746-4555
(218) 746-4558
Mailing address
727 BUCKSKIN AVE W., PILLAGER, MN 56473
(218) 746-4555
(218) 746-4558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8709
MN
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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