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1013199561
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
SAINT PAUL, MN
NPI
1013199561
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Entity Type
Organization
Authorized Contact
DIANA GAVIC
Operations Manager
952-224-9771
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2007-11-27
Last Update Date
2008-06-20
Business Address
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
1680 SUBURBAN AVE
SAINT PAUL, MN 55106-6632
Phone number: 651-209-3139
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Mailing Address
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
6600 FRANCE AVE S #415
EDINA, MN 55435-1805
Phone number: 952-224-9771
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