Pentagon Dental Group, Ltd | |
4940 Viking Dr Ste 127 Edina MN 55435-5306 | |
(952) 835-3383 | |
(952) 835-2818 |
Full Name | Pentagon Dental Group, Ltd |
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Speciality | Dentist - General Practice |
Location | 4940 Viking Dr Ste 127, Edina, Minnesota |
Authorized Official Name and Position | Michael J Perpich (CO-PRESIDENT) |
Authorized Official Contact | 9528353383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pentagon Dental Group, Ltd 4940 Viking Dr Ste 127 Edina MN 55435-5306 Ph: (952) 835-3383 | Pentagon Dental Group, Ltd 4940 Viking Dr Ste 127 Edina MN 55435-5306 Ph: (952) 835-3383 |
NPI Number | 1629166566 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629166566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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