Organization
RIDGES FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ALAN PORTER DDS (DDS, OWNER)
(952) 892-5050
Entity
Organization
Contact information
Practice address
50 MCANDREWS RD E, BURNSVILLE, MN 55337-5718
(952) 892-5050
Mailing address
50 MCANDREWS RD E, BURNSVILLE, MN 55337-5718
(952) 892-5050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11535
MN
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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