Provider Demographics
NPI:1851550917
Name:RAMBOW, MEGHAN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:E
Last Name:RAMBOW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:E
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:201 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:MN
Mailing Address - Zip Code:56267-1212
Mailing Address - Country:US
Mailing Address - Phone:320-589-2161
Mailing Address - Fax:320-589-3149
Practice Address - Street 1:201 E 6TH ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:MN
Practice Address - Zip Code:56267-1212
Practice Address - Country:US
Practice Address - Phone:320-589-2161
Practice Address - Fax:320-589-3149
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12550122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist