Provider Demographics
NPI:1538801048
Name:ROOT CAUSE
Entity type:Organization
Organization Name:ROOT CAUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:MILLER-RINALDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-926-0020
Mailing Address - Street 1:5009 EXCELSIOR BLVD STE 124
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-3040
Mailing Address - Country:US
Mailing Address - Phone:952-926-0020
Mailing Address - Fax:952-926-0417
Practice Address - Street 1:5009 EXCELSIOR BLVD STE 124
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-3040
Practice Address - Country:US
Practice Address - Phone:952-926-0020
Practice Address - Fax:952-926-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental