Organization
RIVER BLUFF DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER PALMER (DENTIST & OWNER)
(952) 884-5361
Entity
Organization
Contact information
Practice address
10851 RHODE ISLAND AVE S, BLOOMINGTON, MN 55438-2393
(952) 884-5361
(952) 946-9533
Mailing address
10851 RHODE ISLAND AVE S, BLOOMINGTON, MN 55438-2393
(952) 884-5361
(952) 946-9533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10102
MN
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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