| Chaska Commons Dental Group | |
|
114 Pioneer Trail Chaska MN 55318 | |
| (952) 361-6855 | |
| (952) 361-6833 |
| Full Name | Chaska Commons Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 114 Pioneer Trail, Chaska, Minnesota |
| Authorized Official Name and Position | Parvathi Jithendranathan (OWNER) |
| Authorized Official Contact | 9523616855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaska Commons Dental Group Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Chaska Commons Dental Group 114 Pioneer Trail Chaska MN 55318 Ph: (952) 361-6855 |
| NPI Number | 1912319286 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912319286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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