Family & Cosmetic Gentle Dentistry

NPI 1790967248 - Dentist - 1223G0001X

NPI Details
NPI 1790967248
Enumeration Date 11/27/2007
Last Updated 06/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANA DIANA
Position OPERATIONS MANAGER
Phone (952) 471-0900
Fax (952) 471-1046
Practice Location
4787 SHORELINE DR
SPRING PARK MN, 55384-9713, US
Phone (952) 471-0900
Fax (952) 471-1046
Business Location
6600 FRANCE AVE S STE 415
EDINA MN, 55435-1817, US
Phone (952) 224-9771
Fax (952) 224-9790
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Family & Cosmetic Gentle Dentistry NPI is 1790967248, taxonomy code is 1223G0001X Family & Cosmetic Gentle Dentistry physically located at 4787 Shoreline Dr, Spring Park MN, 55384-9713. NPI Number 1033115704 has the healthcare provider type.

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1790967248 NPI number is provided on an as is basis without warranty of any kind. 1790967248 is maintained by the National Plan & Provider Enumeration System. The contents of Family & Cosmetic Gentle Dentistry are for informational purposes only.