Organization
DENNIS L KAIVO DDS PA
Active
Other names
Preserve Parkway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L KAIVO DDS (OWNER)
(952) 941-0470
Entity
Organization
Contact information
Practice address
9613 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 55344-4155
(952) 947-0470
Mailing address
9613 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 55344-4155
(952) 947-0470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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