Family & Cosmetic Gentle Dentistry, Ltd
NPI #1013199561 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1013199561
- Entity Type
- Organization
- Organization Name
- Family & Cosmetic Gentle Dentistry, Ltd
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FAMILY & COSMETIC GENTLE DENTISTRY, LTD
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 1680 SUBURBAN AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55106-6632
- Phone
- (651) 209-3139
Authorized Official
- Name
- DIANA GAVIC
- Title
- OPERATIONS MANAGER
- Phone
- (952) 224-9771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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