Individual
DR. DARCY JAY RINDELAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3585 124TH AVE NW, SUITE 400, COON RAPIDS, MN 55433-1006
(763) 767-1524
(763) 767-1528
Mailing address
4951 MOREHEAD AVE, WHITE BEAR LAKE, MN 55110-2633
(651) 324-4270
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
6666-015
WI
1223P0221X
Pediatric Dentistry
Primary
D11365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122648700
MA
MN
01
—
1860394
UNITED CONCORDIA
—
01
—
98G41RI
BLUE CROSS
—
Enumeration date
05/27/2006
Last updated
10/19/2011
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