MINNESOTA STATE COLLEGES AND UNIVERSITIES - ROCHESTER COMMUNITY & TECH

NPI # 

Practice Address:

851 30Th Ave Se

Rochester, MN, 55904-4915

Practice Phone:

507-280-3169

Practice Fax:

507-280-3180

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X

Deactivation Date:

2008-06-03T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2008-07-24T00:00:00.000Z