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1982886859
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
COON RAPIDS, MN
NPI
1982886859
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Entity Type
Organization
Authorized Contact
DIANA GAVIC
Operations Manager
952-224-9771
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-12-03
Last Update Date
2008-06-20
Business Address
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
97 85TH AVE NW
COON RAPIDS, MN 55433-6022
Phone number: 952-224-9771
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Mailing Address
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
6600 FRANCE AVE S STE 415
EDINA, MN 55435-1817
Phone number: 952-224-9771
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