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1023414174
FAMILY AND COSMETIC GENTLE DENTISTRY
NEW HOPE, MN
NPI
1023414174
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Entity Type
Organization
Authorized Contact
ROBERT LUTHER BODIN
CEO/Owner
952-224-9783
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
FAMILY AND COSMETIC GENTLE DENTISTRY
7500 42ND AVE N
NEW HOPE, MN 55427-1225
Phone number: 763-533-0055
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Mailing Address
FAMILY AND COSMETIC GENTLE DENTISTRY
4100 SHORELINE DR #4
SPRING PARK, MN 55384-4508
Phone number: 952-224-9783
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