SOUTHDALE PERIODONTICS

EDINA, MN
NPI1326044538
Entity TypeOrganization
Authorized ContactJAMES R JENSEN
Owner
952-922-6949
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: MN  8863)
Enumeration Date2005-06-22
Last Update Date2020-08-22
Business Address
SOUTHDALE PERIODONTICS
6545 FRANCE AVE S STE 190
EDINA, MN 55435-2184
Phone number: 952-922-6949
Mailing Address
SOUTHDALE PERIODONTICS
6545 FRANCE AVE S STE 190
EDINA, MN 55435-2184
Phone number: 952-922-6949
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