OrganizationActive
Cld - Coon Rapids Mn, LLC
NPI 1366136269 · Dental Clinic/Center · Coon Rapids, MN
Provider details
- NPI number
- 1366136269
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Park, Ceo/Owner(651) 444-9644
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3790 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2629
Phone: (763) 200-5280
Approximate (ZIP-level) locationGet directions
Mailing address
3790 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2629
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.