Organization
NORTHSTAR DENTISTRY
Active
Other names
The Dentist's House of Edina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D GRANT LEWIS DDS (CEO/PRESIDENT)
(412) 877-2288
Entity
Organization
Contact information
Practice address
3930 SUNNYSIDE RD, EDINA, MN 55424-1211
(412) 877-2288
Mailing address
866 TRENTON LN N, PLYMOUTH, MN 55441-4497
(412) 877-2288
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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