| Family And Cosmetic Gentle Dentistry | |
|
1421 Wayzata Blvd Suite 320 Wayzata MN 55391-1939 | |
| (952) 224-9774 | |
| (952) 224-9791 |
| Full Name | Family And Cosmetic Gentle Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1421 Wayzata Blvd, Wayzata, Minnesota |
| Authorized Official Name and Position | Robert Luther Bodin (DENTIST) |
| Authorized Official Contact | 9522249774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Cosmetic Gentle Dentistry 4100 Shoreline Dr Suite 4 Spring Park MN 55384-4508 Ph: (952) 224-9774 | Family And Cosmetic Gentle Dentistry 1421 Wayzata Blvd Suite 320 Wayzata MN 55391-1939 Ph: (952) 224-9774 |
| NPI Number | 1164803177 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164803177 | NPI | - | NPPES |
| 1952399685 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Michael J Harrison Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 East Wayzata Blvd, Suite 320, Wayzata, MN 55391 Phone: 952-475-2907 | |
Monica Kennard,d.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Suite 211, Wayzata, MN 55391 Phone: 952-475-3135 Fax: 952-475-1936 | |
Bruce Martinson Family & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E Wayzata Blvd, Wayzata, MN 55391 Phone: 952-473-4639 Fax: 952-473-1788 | |
Lake Minnetonka Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Bushaway Rd Ste 300, Wayzata, MN 55391 Phone: 952-475-0225 | |
Oral And Maxillofacial Surgical Consultants Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Suite126, Wayzata, MN 55391 Phone: 952-475-2266 Fax: 952-475-0637 | |
Northland Dental Partners, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Lake St E Ste 216, Wayzata, MN 55391 Phone: 952-473-4124 Fax: 952-473-0834 |