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1326044538
SOUTHDALE PERIODONTICS
EDINA, MN
NPI
1326044538
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Entity Type
Organization
Authorized Contact
JAMES R JENSEN
Owner
952-922-6949
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MN 8863)
Enumeration Date
2005-06-22
Last Update Date
2020-08-22
Business Address
SOUTHDALE PERIODONTICS
6545 FRANCE AVE S STE 190
EDINA, MN 55435-2184
Phone number: 952-922-6949
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Mailing Address
SOUTHDALE PERIODONTICS
6545 FRANCE AVE S STE 190
EDINA, MN 55435-2184
Phone number: 952-922-6949
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