OrganizationFamily & Cosmetic Gentle Dentistry, LtdDentistDental ProvidersPractice Address3015 Highway 29 S, I1, Alexandria, MN 56308-3486(952) 224-9771PECOS EnrollmentBased on the most recent information from CMS, provider Family & Cosmetic Gentle Dentistry, Ltd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942482815Provider TypeOrganizationFull NameFamily & Cosmetic Gentle Dentistry, LtdSubpartYesEnumeration Date12/3/2007Last Updated6/20/2008Contact InformationPractice LocationPractice Address3015 Highway 29 S, I1, Alexandria, MN 56308-3486Phone(952) 224-9771Fax(952) 224-9790Mailing LocationMailing Address6600 France Ave S, 415, Edina, MN 55435-1805Phone(952) 224-9771Fax(952) 224-9790Authorized OfficialNameGavic, Diana (Operations Manager)Phone(952) 224-9771Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID803140000DescriptionMedicaidIssuerUnlistedMinnesota