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Organization
GENTLE DENTISTRY OF MINNESOTA, LTD
Active
Organization
GENTLE DENTISTRY OF MINNESOTA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LUTHER BODIN DDS (CEO)
(952) 224-9770
Entity
Organization
Contact information
Practice address
8074 OLD CARRIAGE CT, SHAKOPEE, MN 55379
(952) 746-0808
(952) 746-0866
Mailing address
4100 SHORELINE DRIVE #4, SPRING PARK, MN 55384
(952) 224-9783
(952) 746-0866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
02/21/2018
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