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Contact Information

FAMILY & COSMETIC GENTLE DENTISTRY, LTD.
5100 EDEN AVE STE 209
EDINA, MN55436-2338
 Phone: 952-929-0641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for FAMILY & COSMETIC GENTLE DENTISTRY, LTD.

NPI Number 1952399685
LBN Legal business name FAMILY & COSMETIC GENTLE DENTISTRY, LTD.
Authorized official ROBERT BODIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2005
Last updated 10/28/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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