| Camp Smile Orthodontics Plymouth Pllc | |
|
2805 Campus Dr Ste 245 Plymouth MN 55441-2678 | |
| (763) 383-1788 | |
| Not Available |
| Full Name | Camp Smile Orthodontics Plymouth Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2805 Campus Dr Ste 245, Plymouth, Minnesota |
| Authorized Official Name and Position | Bobbi L Augustyn (OWNER) |
| Authorized Official Contact | 7633831788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Smile Orthodontics Plymouth Pllc 2805 Campus Dr Ste 245 Plymouth MN 55441-2678 Ph: (763) 383-1788 | Camp Smile Orthodontics Plymouth Pllc 2805 Campus Dr Ste 245 Plymouth MN 55441-2678 Ph: (763) 383-1788 |
| NPI Number | 1194316646 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194316646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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