Organization
TPC ENTERPRISES
Active
Other names
RiverRock Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA SMITH (OFFICE MANAGER)
(952) 445-5556
Entity
Organization
Contact information
Practice address
403 1ST AVE E, SHAKOPEE, MN 55379-1439
(952) 445-5556
Mailing address
403 1ST AVE E, SHAKOPEE, MN 55379-1439
(952) 445-5556
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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