Organization
MODERN DENTISTRY OF MINNETONKA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE JAMES GOTTSCHALK DDS (CO-OWNER/DENTIST)
(763) 568-9668
Entity
Organization
Contact information
Practice address
2000 PLYMOUTH RD STE 357, MINNETONKA, MN 55305-2335
(952) 544-1449
Mailing address
2000 PLYMOUTH RD STE 357, MINNETONKA, MN 55305-2335
(952) 544-1449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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