Organization
ADVANCED PERIODONTICS & IMPLANTS PLLC
Active
Other names
Advanced Periodontics & Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN MARK RECKER D.D.S., M.S. (PERIODONTIST)
(507) 226-3706
Entity
Organization
Contact information
Practice address
2112 VIKING DR NW, ROCHESTER, MN 55901-3522
(507) 208-9124
(507) 218-0326
Mailing address
2112 VIKING DR NW, ROCHESTER, MN 55901-3522
(507) 208-9124
(507) 218-0326
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D12733
MN
Other
Enumeration date
11/21/2014
Last updated
06/15/2015
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