Provider First Line Business Practice Location Address:
2220 RIVERSIDE AVE
Provider Second Line Business Practice Location Address:
HEALTHPARTNERS RIVERSIDE DENTAL CLINIC
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55454-1321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-263-8381
Provider Business Practice Location Address Fax Number:
218-263-8383
Provider Enumeration Date:
03/30/2007