| Imagine Smiles | |
|
10729 Town Square Drive Ne Suite 150 Blaine MN 55449 | |
| (763) 269-8650 | |
| (763) 201-3377 |
| Full Name | Imagine Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10729 Town Square Drive Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Kelly Noye (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 7632698650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Smiles 10729 Town Square Drive Ne Suite 150 Blaine MN 55449 Ph: (763) 269-8650 | Imagine Smiles 10729 Town Square Drive Ne Suite 150 Blaine MN 55449 Ph: (763) 269-8650 |
| NPI Number | 1174133698 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174133698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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