| Periowest | |
|
7810 Terrey Pine Ct Eden Prairie MN 55347-1186 | |
| (952) 567-7457 | |
| Not Available |
| Full Name | Periowest |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7810 Terrey Pine Ct, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Andres Roberto Sanchez (PRESIDENT) |
| Authorized Official Contact | 9523933634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periowest 7810 Terrey Pine Ct Eden Prairie MN 55347-1186 Ph: (952) 567-7457 | Periowest 7810 Terrey Pine Ct Eden Prairie MN 55347-1186 Ph: (952) 567-7457 |
| NPI Number | 1609048743 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609048743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | S13 (Minnesota) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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