Organization
FAMILY AND COSMETIC GENTLE DENTISTRY
Active
Parent organization
FMAILY AND COSMETIC GENTLE DENTISTRY
Other names
Family and Cosmetic Gentle Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
FMAILY AND COSMETIC GENTLE DENTISTRY
Authorized official
ROBERT LUTHER BODIN DDS (OWNER)
(952) 224-9774
Entity
Organization
Contact information
Practice address
5107 GUS YOUNG LN, EDINA, MN 55436-1530
(952) 929-0641
(952) 929-1802
Mailing address
5107 GUS YOUNG LN, EDINA, MN 55436-1530
(952) 929-0641
(952) 929-1802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
04/25/2016
Last updated
07/21/2022
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