| Centennial Lakes Dental Group | |
|
7373 France Ave S Ste 500 Edina MN 55435-4551 | |
| (952) 831-2800 | |
| (952) 831-5805 |
| Full Name | Centennial Lakes Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 7373 France Ave S Ste 500, Edina, Minnesota |
| Authorized Official Name and Position | Judy Slavik (OFFICE MANAGER) |
| Authorized Official Contact | 9528312800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Lakes Dental Group 7373 France Ave S Ste 500 Edina MN 55435-4551 Ph: (952) 831-2800 | Centennial Lakes Dental Group 7373 France Ave S Ste 500 Edina MN 55435-4551 Ph: (952) 831-2800 |
| NPI Number | 1801982111 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801982111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
David J Elasky Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 Parklawn Ste 101, Edina, MN 55435 Phone: 952-835-6000 Fax: 952-835-7679 | |
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