Cottage Grove Smiles Dentistry, Pc | |
7240 E Point Douglas Rd S Ste 150 Cottage Grove MN 55016-3021 | |
(651) 352-4628 | |
(651) 359-2923 |
Full Name | Cottage Grove Smiles Dentistry, Pc |
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Speciality | Dentist - General Practice |
Location | 7240 E Point Douglas Rd S Ste 150, Cottage Grove, Minnesota |
Authorized Official Name and Position | Thomas Morien (OWNER) |
Authorized Official Contact | 6513524628 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cottage Grove Smiles Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Cottage Grove Smiles Dentistry, Pc 7240 E Point Douglas Rd S Ste 150 Cottage Grove MN 55016-3021 Ph: (651) 352-4628 |
NPI Number | 1093495574 |
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Provider Enumeration Date | 07/20/2023 |
Last Update Date | 07/20/2023 |
Identifier | Type | State | Issuer |
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1093495574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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