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Riverside Dental-Robert C. Beattie, DDS & Associates PC

Dentist, General Practice in Princeton, MN. Organization (NPI-2).

NPI number1104994110
StatusActive
Last updated in NPPESJul 15, 2008

Details

NPI
1104994110
Entity type
Organization (NPI-2)
Legal business name
Riverside Dental-Robert C. Beattie, DDS & Associates PC
Organization subpart
No
Enumeration date
Nov 30, 2006
Last updated
Jul 15, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7787MNYes

Practice location

404 1st St. N.
Princeton, MN 55371

Phone 763-389-3320 · Fax 763-631-0662

Mailing address

404 1st St. N.
Princeton, MN 55371

Phone 763-389-3320 · Fax 763-631-0662

Authorized official

Robert C. Beattie
Ceo
7633893320

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