NORTHDALE DENTIST PA is a general practice dentist in Coon Rapids, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NORTHDALE DENTIST PA NPI is 1619287562. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2147, NORTHDALE BLVD NW.
COON RAPIDS, MN
ZIP 55433
Phone: (763) 497-6977
Fax: (763) 463-7807
The provider's authorized official is Jagannatian Ramakrishnan .
The authorized official title is Dentist and has the following contact phone number (763) 218-2887.
The enumeration date for this NPI number is 10/13/2010 and was last updated on 10/13/2010.