NPI 1033223581

West River Dental Care

Organisation General Practice Dentistry Minneapolis, MN

Practice location

Address: 4103 E Lake St, Minneapolis, MN 55406-2259
Phone: (612) 721-2424
Fax: (612) 721-3054

Authorised official

Name: Michael Paul Skadron
Title: Owner
Phone: (612) 721-2424

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 10636 (MN)

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Registry record

NPI: 1033223581
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.