| Lifesmiles Family Dentistry, Pllc | |
|
8100 Penn Ave S Ste 172 Bloomington MN 55431-1325 | |
| (952) 884-8337 | |
| Not Available |
| Full Name | Lifesmiles Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8100 Penn Ave S Ste 172, Bloomington, Minnesota |
| Authorized Official Name and Position | Robert Huot (OWNER) |
| Authorized Official Contact | 6512381366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesmiles Family Dentistry, Pllc 8100 Penn Ave S Ste 172 Bloomington MN 55431-1325 Ph: (952) 884-8337 | Lifesmiles Family Dentistry, Pllc 8100 Penn Ave S Ste 172 Bloomington MN 55431-1325 Ph: (952) 884-8337 |
| NPI Number | 1083398374 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083398374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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