Family & Cosmetic Gentle Dentistry, Ltd
NPI #1295917755 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1295917755
- 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
- 5401 CHICAGO AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55417-2443
- Phone
- (612) 827-2801
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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