Organization
CHASKA COMMONS DENTAL GROUP PC
Active
Other names
Chaska Commons Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
PARVATHI JITHENDRANATHAN D.D.S. (OWNER)
(952) 361-6855
Entity
Organization
Contact information
Practice address
114 PIONEER TRAIL, CHASKA, MN 55318
(952) 361-6855
(952) 361-6833
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/11/2022
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