Family & Cosmetic Gentle Dentistry, Ltd

NPI #1093997546 in Eagan, Minnesota

Provider Information

NPI Number
1093997546
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
1340 DUCKWOOD DR
City
Eagan
ZIP Code
55123-2324
Phone
(651) 209-9999

Authorized Official

Name
DIANA GAVIC
Title
OPERATIONS MANAGER
Phone
(952) 224-9771

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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