| Kid Grins Pediatric Dentistry | |
|
7450 France Ave S Suite 250 Edina MN 55435-4787 | |
| (952) 925-5334 | |
| Not Available |
| Full Name | Kid Grins Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7450 France Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Amey L Severson (OWNER) |
| Authorized Official Contact | 9529255334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid Grins Pediatric Dentistry 7450 France Ave S Suite 250 Edina MN 55435-4787 Ph: (952) 925-5334 | Kid Grins Pediatric Dentistry 7450 France Ave S Suite 250 Edina MN 55435-4787 Ph: (952) 925-5334 |
| NPI Number | 1265554075 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265554075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D12014 (Minnesota) | 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 | |
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