| Eagan Children's Dentistry | |
|
4640 Slater Rd Ste 150 Eagan MN 55122-4045 | |
| (651) 808-5252 | |
| (651) 808-5253 |
| Full Name | Eagan Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4640 Slater Rd Ste 150, Eagan, Minnesota |
| Authorized Official Name and Position | Judy K Pedro-lim (OWNER/DENTIST) |
| Authorized Official Contact | 6514524411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagan Children's Dentistry 4640 Slater Rd Ste 150 Eagan MN 55122-4045 Ph: (651) 808-5252 | Eagan Children's Dentistry 4640 Slater Rd Ste 150 Eagan MN 55122-4045 Ph: (651) 808-5252 |
| NPI Number | 1316565823 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316565823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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