Individual
DR. DANIEL GUNDERSON RAETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2855 CAMPUS DR, 360, PLYMOUTH, MN 55441
(763) 383-1788
(763) 383-1768
Mailing address
2855 CAMPUS DR, 360, PLYMOUTH, MN 55441
(763) 383-1788
(763) 383-1768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10086
MN
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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