Individual
ROBERT LUTHER BODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 EDEN AVE, EDINA, MN 55436-2337
(952) 929-0641
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 224-9783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7172
MN
Other
Enumeration date
10/21/2005
Last updated
12/14/2012
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