| Golden Valley Kids Pllc | |
|
7575 Golden Valley Rd Golden Valley MN 55427-4562 | |
| (763) 222-1299 | |
| Not Available |
| Full Name | Golden Valley Kids Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7575 Golden Valley Rd, Golden Valley, Minnesota |
| Authorized Official Name and Position | Adena Fern Borodkin (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7632221299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Valley Kids Pllc 5128 Tifton Dr Edina MN 55439-1457 Ph: (612) 419-3040 | Golden Valley Kids Pllc 7575 Golden Valley Rd Golden Valley MN 55427-4562 Ph: (763) 222-1299 |
| NPI Number | 1780198010 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 11/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780198010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D11961 (Minnesota) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D11564 (Minnesota) | Secondary |
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