| Camp Smile Pediatric Dentistry Chaska | |
|
111 Hundertmark Rd Ste 304n Chaska MN 55318-1587 | |
| (763) 383-1788 | |
| Not Available |
| Full Name | Camp Smile Pediatric Dentistry Chaska |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 111 Hundertmark Rd Ste 304n, Chaska, 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 Pediatric Dentistry Chaska 111 Hundertmark Rd Ste 304n Chaska MN 55318-1587 Ph: (763) 383-1788 | Camp Smile Pediatric Dentistry Chaska 111 Hundertmark Rd Ste 304n Chaska MN 55318-1587 Ph: (763) 383-1788 |
| NPI Number | 1932671765 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 12/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932671765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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