| Dentistry For Children & Adolescents | |
|
6060 Clearwater Drive Suite 210 Minnetonka MN 55343-9468 | |
| (952) 932-0920 | |
| (952) 932-0929 |
| Full Name | Dentistry For Children & Adolescents |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6060 Clearwater Drive, Minnetonka, Minnesota |
| Authorized Official Name and Position | Mark Edward Greenwood (TREASURER) |
| Authorized Official Contact | 9528314400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children & Adolescents 7373 France Avenue South Suite 402 Edina NE 55435-4558 Ph: (952) 831-4400 | Dentistry For Children & Adolescents 6060 Clearwater Drive Suite 210 Minnetonka MN 55343-9468 Ph: (952) 932-0920 |
| NPI Number | 1790941425 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790941425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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