Organization
DANIEL G. RAETHER, DDS, MS, LTD.
Active
Other names
Camp Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL G RAETHER D.D.S., M.S. (PRESIDENT)
(763) 383-1788
Entity
Organization
Contact information
Practice address
2855 CAMPUS DRIVE, SUITE 360, PLYMOUTH, MN 55441
(763) 383-1788
(763) 383-1768
Mailing address
2855 CAMPUS DRIVE, SUITE 360, PLYMOUTH, MN 55441
(763) 383-1788
(763) 383-1768
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10086
MN
Other
Enumeration date
02/01/2007
Last updated
08/18/2008
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