Family & Cosmetic Gentle Dentistry, Ltd.

NPI #1952399685 in Edina, Minnesota

Provider Information

NPI Number: 1952399685
Entity Type: Organization
Organization Name: Family & Cosmetic Gentle Dentistry, Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 6, 2005
Last Updated: Oct 28, 2009

Practice Location

Address: 5100 EDEN AVE STE 209
City: Edina
State: Minnesota
ZIP Code: 55436-2338
Phone: (952) 929-0641

Authorized Official

Name: DR. ROBERT LUTHER BODIN, DDS
Title: PRESIDENT
Phone: (952) 224-9771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - General Practice — General Practice	1223G0001X	Primary

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