| Interlachen Dental Associates | |
|
5101 Vernon Avenue Suite 1b Edina MN 55436 | |
| (952) 920-9579 | |
| (952) 920-9298 |
| Full Name | Interlachen Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5101 Vernon Avenue, Edina, Minnesota |
| Authorized Official Name and Position | Michael John Gitzen (PRESIDENT OWNER DOCTOR) |
| Authorized Official Contact | 9529209579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interlachen Dental Associates 5101 Vernon Avenue Suite 1b Edina MN 55436 Ph: (952) 920-9579 | Interlachen Dental Associates 5101 Vernon Avenue Suite 1b Edina MN 55436 Ph: (952) 920-9579 |
| NPI Number | 1174600621 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174600621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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 | |
Edina Family Dental Assoc., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 Lincoln Dr, Edina, MN 55436 Phone: 952-935-3532 | |
Robert K. Peterson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 France Ave S, #110, Edina, MN 55435 Phone: 952-831-0414 Fax: 952-831-1116 | |
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 | |
Orthodontic Partners Of Minnesota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7450 France Ave S Ste 270, Edina, MN 55435 Phone: 952-926-2551 | |
Pdg,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Edinborough Way Ste 210, Edina, MN 55435 Phone: 952-831-1112 | |
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