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RICHARD P TREHARNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7500 80TH ST S, COTTAGE GROVE, MN 55016-3008
(651) 459-3039
(651) 459-9874
Mailing address
7500 80TH ST S, COTTAGE GROVE, MN 55016-3008
(651) 459-3039
(651) 459-9874

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10404
MN

Other

Enumeration date
01/09/2007
Last updated
01/02/2008
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