| Family & Cosmetic Gentle Dentistry, Ltd. | |
|
5100 Eden Ave Ste 209 Edina MN 55436-2338 | |
| (952) 929-0641 | |
| Not Available |
| Full Name | Family & Cosmetic Gentle Dentistry, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5100 Eden Ave Ste 209, Edina, Minnesota |
| Authorized Official Name and Position | Robert Luther Bodin (PRESIDENT) |
| Authorized Official Contact | 9522249771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Cosmetic Gentle Dentistry, Ltd. 6600 France Ave S Ste 415 Edina MN 55435-1817 Ph: (952) 224-9771 | Family & Cosmetic Gentle Dentistry, Ltd. 5100 Eden Ave Ste 209 Edina MN 55436-2338 Ph: (952) 929-0641 |
| NPI Number | 1952399685 |
|---|---|
| Provider Enumeration Date | 10/06/2005 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952399685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
David J Elasky Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 Parklawn Ste 101, Edina, MN 55435 Phone: 952-835-6000 Fax: 952-835-7679 | |
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Seubert & Omlie Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6545 France Ave S Ste 585, Edina, MN 55435 Phone: 952-922-9119 | |
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