Family & Cosmetic Gentle Dentistry, Ltd

NPI #1750563227 in Plymouth, Minnesota

Provider Information

NPI Number: 1750563227
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: 13550 26TH AVE N STE 200
City: Plymouth
State: Minnesota
ZIP Code: 55441-3650
Phone: (763) 557-0287

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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