Dentists Of Eden Prairie, PC
Dentist, General Practice in Eden Prairie, MN. Organization (NPI-2).
NPI number1255870531
StatusActive
Last updated in NPPESMar 1, 2017
Details
- NPI
- 1255870531
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentists Of Eden Prairie, PC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2017
- Last updated
- Mar 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dentists Of Eden Prairie (Doing Business As)
Practice location
13000 Technology DrSuite 110
Eden Prairie, MN 55344-3606
Phone 952-562-1463 · Fax 952-679-2025
Mailing address
17000 Red Hill AveIrvine, CA 92614-5626
Phone 714-845-8890 · Fax 949-474-1495
Authorized official
Robert J Seymour
Owner
9525621463
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All 42 General Practice Dentistry providers in Eden Prairie · All 2,103 providers in Eden Prairie
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