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Organization

SOUTHDALE DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES DAVID RAYMOND DDS (PRESIDENT PARTNER)
(952) 896-1111
Entity
Organization

Contact information

Practice address
7373 FRANCE AVE S, STE 600, EDINA, MN 55435-4552
(952) 896-1111
(952) 253-9271
Mailing address
7373 FRANCE AVE S, STE 600, EDINA, MN 55435-4552
(952) 896-1111
(952) 253-9271

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10543
MN
122300000X
Dentist
6792
MN
122300000X
Dentist
6894
MN
122300000X
Dentist
7004
MN
122300000X
Dentist
8512
MN
122300000X
Dentist
9816
MN
1223P0700X
Prosthodontics
Primary
10525
MN

Other

Enumeration date
04/26/2006
Last updated
09/11/2025
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