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Organization
EDEN LAKES DENTAL LLC
Active
Organization
EDEN LAKES DENTAL LLC
Active
Other names
Preserve Parkway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCESCA CATIBOG DDS (OWNER)
(818) 626-6883
Entity
Organization
Contact information
Practice address
9613 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 55344-4155
(952) 941-0470
Mailing address
7000 YORKTOWN LN N, MAPLE GROVE, MN 55369-7603
(818) 626-6883
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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