| Minnetonka Dental Partners Llc | |
|
17909 Delton Ave Minnetonka MN 55345 | |
| (952) 474-7057 | |
| (952) 401-1698 |
| Full Name | Minnetonka Dental Partners Llc |
|---|---|
| Speciality | Dentist |
| Location | 17909 Delton Ave, Minnetonka, Minnesota |
| Authorized Official Name and Position | George Rizkalla (OWNER) |
| Authorized Official Contact | 9524747057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnetonka Dental Partners Llc 17909 Delton Ave Minnetonka MN 55345 Ph: (952) 474-7057 | Minnetonka Dental Partners Llc 17909 Delton Ave Minnetonka MN 55345 Ph: (952) 474-7057 |
| NPI Number | 1447659495 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447659495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12012 (Minnesota) | Primary |
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