INTERLACHEN DENTAL ASSOCIATES

EDINA, MN
NPI1174600621
Entity TypeOrganization
Authorized ContactMICHAEL JOHN GITZEN
President Owner Doctor
952-920-9579
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2006-11-01
Last Update Date2012-01-12
Business Address
INTERLACHEN DENTAL ASSOCIATES
5101 VERNON AVENUE SUITE 1B
EDINA, MN 55436
Phone number: 952-920-9579
Mailing Address
INTERLACHEN DENTAL ASSOCIATES
5101 VERNON AVENUE SUITE 1B
EDINA, MN 55436
Phone number: 952-920-9579
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