| Modern Dentistry Of Minnetonka Pllc | |
|
2000 Plymouth Rd Ste 357 Minnetonka MN 55305-2335 | |
| (952) 544-1449 | |
| Not Available |
| Full Name | Modern Dentistry Of Minnetonka Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 Plymouth Rd Ste 357, Minnetonka, Minnesota |
| Authorized Official Name and Position | Chase James Gottschalk (CO-OWNER/DENTIST) |
| Authorized Official Contact | 7635689668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dentistry Of Minnetonka Pllc 2000 Plymouth Rd Ste 357 Minnetonka MN 55305-2335 Ph: (952) 544-1449 | Modern Dentistry Of Minnetonka Pllc 2000 Plymouth Rd Ste 357 Minnetonka MN 55305-2335 Ph: (952) 544-1449 |
| NPI Number | 1134807878 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134807878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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