| NPI | 1760837041 |
|---|---|
| Doing Business As | FAMILY AND COSMETIC GENTLE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT LUTHER BODIN Owner 952-224-9774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2022-07-21 |