Family & Cosmetic Gentle Dentistry, Ltd
NPI #1982886859 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1982886859
- 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
- Dec 3, 2007
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 97 85TH AVE NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-6022
- Phone
- (952) 224-9771
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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