Organization
CENTENNIAL LAKES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY SLAVIK (OFFICE MANAGER)
(952) 831-2800
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE S STE 500, EDINA, MN 55435-4551
(952) 831-2800
(952) 831-5805
Mailing address
7373 FRANCE AVE S STE 500, EDINA, MN 55435-4551
(952) 831-2800
(952) 831-5805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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