Organization
COSMOPOLITAN ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER EISENHUTH DDS, MS (PHYSICIAN / OWNER)
(952) 469-3333
Entity
Organization
Contact information
Practice address
17757 JUNIPER PATH, LAKEVILLE, MN 55044-9482
(951) 469-3333
(951) 469-4997
Mailing address
3340 SHERMAN CT, EAGAN, MN 55121-5012
(651) 406-8100
(651) 406-8060
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10874
MN
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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