| Eagan Smiles Dentistry | |
|
3405 Promenade Ave Suite 300 Eagan MN 55123-4404 | |
| (651) 236-7458 | |
| (651) 405-6995 |
| Full Name | Eagan Smiles Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3405 Promenade Ave, Eagan, Minnesota |
| Authorized Official Name and Position | Paul S Gebhart (OWNER) |
| Authorized Official Contact | 6512367458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagan Smiles Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Eagan Smiles Dentistry 3405 Promenade Ave Suite 300 Eagan MN 55123-4404 Ph: (651) 236-7458 |
| NPI Number | 1184093551 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184093551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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