Robert Luther Bodin

NPI #1033109061 in Edina, Minnesota

Provider Information

NPI Number
1033109061
Entity Type
Individual
Name
Robert Luther Bodin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 21, 2005
Last Updated
Dec 14, 2012

Practice Location

Address
5100 EDEN AVE
City
Edina
ZIP Code
55436-2337
Phone
(952) 929-0641

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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