| Family And Cosmetic Gentle Dentistry | |
|
7500 42nd Ave N New Hope MN 55427-1225 | |
| (763) 533-0055 | |
| Not Available |
| Full Name | Family And Cosmetic Gentle Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7500 42nd Ave N, New Hope, Minnesota |
| Authorized Official Name and Position | Robert Luther Bodin (CEO/OWNER) |
| Authorized Official Contact | 9522249783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Cosmetic Gentle Dentistry 4100 Shoreline Dr #4 Spring Park MN 55384-4508 Ph: (952) 224-9783 | Family And Cosmetic Gentle Dentistry 7500 42nd Ave N New Hope MN 55427-1225 Ph: (763) 533-0055 |
| NPI Number | 1023414174 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023414174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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