SOUTHDALE PERIODONTICS, PLLC is a periodontics dentist in Edina, MN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SOUTHDALE PERIODONTICS, PLLC NPI is 1134547730. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6545 FRANCE AVE S
SUITE 190
EDINA, MN
ZIP 55435-131
Phone: (952) 922-6949
Fax: (952) 922-9287
The provider's authorized official is Russell Allen Dylla .
The authorized official title is Owner and has the following contact phone number (952) 922-6949.
The enumeration date for this NPI number is 4/1/2014 and was last updated on 4/1/2014.