Organization
EDEN LAKES DENTAL LLC
Active
Other names
Preserve Parkway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCESCA CATIBOG DDS (OWNER)
(818) 626-6883
Entity
Organization
Contact information
Practice address
9613 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 55344-4155
(952) 941-0470
Mailing address
7000 YORKTOWN LN N, MAPLE GROVE, MN 55369-7603
(818) 626-6883
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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