Organization
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Active
Parent organization
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Authorized official
DIANA BEDNAR (OPERATIONS MANAGER)
(952) 224-9771
Entity
Organization
Contact information
Practice address
8711 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-5000
(651) 379-9892
(651) 379-9893
Mailing address
6600 FRANCE AVE S STE 415, EDINA, MN 55435-1817
(952) 224-9771
(982) 224-9790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256415000
—
MN
Enumeration date
12/03/2007
Last updated
12/05/2008
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