Minnetonka Dental Partners Llc | |
17909 Delton Ave Minnetonka MN 55345 | |
(952) 474-7057 | |
(952) 401-1698 |
Full Name | Minnetonka Dental Partners Llc |
---|---|
Speciality | Dentist |
Location | 17909 Delton Ave, Minnetonka, Minnesota |
Authorized Official Name and Position | George Rizkalla (OWNER) |
Authorized Official Contact | 9524747057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minnetonka Dental Partners Llc 17909 Delton Ave Minnetonka MN 55345 Ph: (952) 474-7057 | Minnetonka Dental Partners Llc 17909 Delton Ave Minnetonka MN 55345 Ph: (952) 474-7057 |
NPI Number | 1447659495 |
---|---|
Provider Enumeration Date | 08/15/2014 |
Last Update Date | 08/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447659495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D12012 (Minnesota) | Primary |
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