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Organization

SWANSON FAMILY DENTRISTRY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES TIMOTHY SWANSON DDS (PRES)
(952) 545-2838
Entity
Organization

Contact information

Practice address
12450 WAYZATA BLVD, STE 214, MINNETONKA, MN 55305-1934
(952) 545-2838
(952) 545-7649
Mailing address
12450 WAYZATA BLVD, STE 214, MINNETONKA, MN 55305-1934
(952) 545-2838
(952) 545-7649

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/20/2006
Last updated
08/22/2020
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