Organization
AFFILIATED PEDIATRIC DENTISTS PA
Active
Other names
DENTISTRY FOR CHILDREN & ADOLESCENTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD GREENWOOD D.D.S. (TREASURER)
(952) 831-4400
Entity
Organization
Contact information
Practice address
6060 CLEARWATER DRIVE, SUITE 210, MINNETONKA, MN 55343-9468
(952) 932-0920
(952) 932-0929
Mailing address
7373 FRANCE AVENUE SOUTH, SUITE 402, EDINA, NE 55435-4558
(952) 831-4400
(952) 893-3041
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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