FAMILY & COSMETIC GENTLE DENTISTRY LTD NPI 1013199561

NPI Information

FAMILY & COSMETIC GENTLE DENTISTRY, LTD is a general practice dentist in Saint Paul, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FAMILY & COSMETIC GENTLE DENTISTRY, LTD NPI is 1013199561. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1680 SUBURBAN AVE
SAINT PAUL, MN
ZIP 55106-632
Phone: (651) 209-3139
Fax: (651) 209-3138

The provider's authorized official is Diana Gavic .
The authorized official title is Operations Manager and has the following contact phone number (952) 224-9771.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 6/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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