| Centennial Lakes Dental Group | |
|
5851 Duluth St Ste 218 Golden Valley MN 55422-3956 | |
| (763) 544-0121 | |
| (763) 544-2727 |
| Full Name | Centennial Lakes Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5851 Duluth St Ste 218, Golden Valley, 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 5851 Duluth St Ste 218 Golden Valley MN 55422-3956 Ph: (763) 544-0121 | Centennial Lakes Dental Group 5851 Duluth St Ste 218 Golden Valley MN 55422-3956 Ph: (763) 544-0121 |
| NPI Number | 1972748721 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 12/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972748721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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