Family and Cosmetic Gentle Dentistry

NPI #1164803177 in Wayzata, Minnesota

Provider Information

NPI Number
1164803177
Entity Type
Organization
Organization Name
Family and Cosmetic Gentle Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 16, 2015
Last Updated
Jun 16, 2015

Practice Location

Address
1421 WAYZATA BLVD
Address 2
SUITE 320
ZIP Code
55391-1939
Phone
(952) 224-9774

Authorized Official

Name
DR. ROBERT LUTHER BODIN, DDS
Title
DENTIST
Phone
(952) 224-9774

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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