Organization
NICOLE TRIPP DDS PLLC
Active
Other names
Sunfish Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LEIGH TRIPP DDS (OWNER)
(320) 963-3794
Entity
Organization
Contact information
Practice address
33 BIRCH AVE S, MAPLE LAKE, MN 55358-4570
(320) 963-3794
(320) 547-4002
Mailing address
PO BOX 67, MAPLE LAKE, MN 55358-0067
(320) 963-3794
(320) 547-4002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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